Organization
CASEATLAS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ATUL KUMAR (DIRECTOR)
(631) 897-8801
Entity
Organization
Contact information
Practice address
24 PHEASANT RUN, ROSLYN, NY 11576-2811
(212) 858-9268
Mailing address
24 PHEASANT RUN, ROSLYN, NY 11576-2811
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
261Q00000X
Clinic/Center
Primary
—
—
261QE0800X
Endoscopy Clinic/Center
—
—
261QM2500X
Medical Specialty Clinic/Center
—
—
Other
Enumeration date
11/25/2016
Last updated
08/22/2020
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