Individual
MANISH KUMAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 HEALTHY WAY, OCEANSIDE, NY 11572-1551
(516) 632-3000
Mailing address
2919 DEVON AVE, MEDFORD, NY 11763-1907
(917) 562-4836
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
312066-01
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/04/2018
Last updated
10/22/2024
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