Individual
MR. JAYARAJ S KUMAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
30 PINE CONE LN, ISLANDIA, NY 11749-5512
(631) 348-7552
Mailing address
30 PINE CONE LN, ISLANDIA, NY 11749-5512
(631) 348-7552
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
123553
NY
Other
Enumeration date
12/18/2012
Last updated
12/18/2012
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