Individual
ANAND KUMAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
1000 MONTAUK HWY, WEST ISLIP, NY 11795-4927
(631) 376-8013
Mailing address
1000 MONTAUK HWY, WEST ISLIP, NY 11795-4927
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
016372-1
NY
363AS0400X
Surgical Physician Assistant
016372-1
NY
Other
Enumeration date
02/12/2013
Last updated
09/10/2025
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