Individual
MUTHUKUMAR MUTHUSAMY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2601 OCEAN PKWY, BROOKLYN, NY 11235-7745
(718) 616-4408
(718) 616-4105
Mailing address
1850 OCEAN PKWY, APT. D6, BROOKLYN, NY 11223-3060
(718) 376-0144
Taxonomy
Speciality
Code
Description
License number
State
2086S0102X
Surgical Critical Care Physician
Primary
218091-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02091647
—
NY
Enumeration date
08/09/2006
Last updated
03/30/2015
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