Individual
DR. AMIT KUMAR KAUSHAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
101 NICOLLS RD, STONY BROOK, NY 11794
(631) 444-2976
(631) 444-2907
Mailing address
PO BOX 1559, STONY BROOK, NY 11790-0989
(631) 444-2975
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
289428
NY
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
289428
NY
Other
Enumeration date
03/25/2013
Last updated
08/08/2018
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