Individual
DR. MADANKUMAR RAJ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
600 NORTHERN BLVD, SUITE 113, GREAT NECK, NY 11021
(516) 441-5739
(516) 441-5743
Mailing address
11 HOLIDAY POND RD, JERICHO, NY 11753-1154
(516) 478-0010
(516) 482-0143
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
231493
NY
208VP0000X
Pain Medicine Physician
Primary
231493
NY
208VP0014X
Interventional Pain Medicine Physician
231493
NY
Other
Enumeration date
03/31/2006
Last updated
04/04/2023
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