Individual
DR. KAUSHAL KANNAMMAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O. D.
Contact information
Practice address
13750 JAMAICA AVE, JAMAICA, NY 11435-3610
(718) 298-5100
Mailing address
13750 JAMAICA AVE, JAMAICA, NY 11435-3610
(718) 298-5100
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
008447
NY
Other
Enumeration date
06/23/2016
Last updated
03/25/2025
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