Organization
KUMAR PHYSICIAN OFFICE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MANISH KUMAR M.D. (PRESIDENT)
(718) 470-0126
Entity
Organization
Contact information
Practice address
25012 HILLSIDE AVE STE B, BELLEROSE, NY 11426-2139
(718) 470-0126
(718) 470-0128
Mailing address
13 WILTON ST, NEW HYDE PARK, NY 11040-3829
(718) 470-0126
(718) 470-0128
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
265895
NY
261QP2300X
Primary Care Clinic/Center
265895
NY
Other
Enumeration date
09/09/2015
Last updated
12/16/2015
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