Individual
SUNIL KUKREJA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6555 WOODHAVEN BLVD, REGO PARK, NY 11374-5048
(718) 255-6615
Mailing address
105 FOURTH ST, EDISON, NJ 08837-2653
(318) 655-4393
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
25MA10361300
NJ
207X00000X
Orthopaedic Surgery Physician
292135
NY
207XS0117X
Orthopaedic Surgery of the Spine Physician
25MA10361300
NJ
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
292135
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/17/2014
Last updated
08/21/2021
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