Individual
MR. ISHU KUMAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
411 HOLDRIDGE AVE, STATEN ISLAND, NY 10312-2174
(646) 358-2549
Mailing address
411 HOLDRIDGE AVE, STATEN ISLAND, NY 10312-6029
(646) 358-2549
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
599018
NY
Other
Enumeration date
12/18/2013
Last updated
12/17/2018
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