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Organization

NARENDRA A KUMTHEKAR PHYSICIAN PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. NARENDRA A KUMTHEKAR M.D. (PRESIDENT)
(914) 843-8996
Entity
Organization

Contact information

Practice address
1700 FLATBUSH AVE, BROOKLYN, NY 11210-3943
(914) 843-8996
Mailing address
PO BOX 429, HARRISON, NY 10528-0429

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
224765
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02299567
NY
01
07084G
MEDICARE ID GHI
NY
01
1172H1
MEDICARE ID
NY
Enumeration date
03/18/2013
Last updated
03/18/2013
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