Individual
DR. KUMAR MADOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5225 NESCONSET HWY, SUITE 35, PORT JEFFERSON STATION, NY 11776
(631) 331-3232
(631) 928-4910
Mailing address
PO BOX 395, MT SINAI, NY 11766
(631) 331-3232
(631) 928-4910
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
115212
NY
Other
Enumeration date
10/12/2006
Last updated
07/08/2007
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