Individual
MANISH KUMAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
25012 HILLSIDE AVE, SUITE B, BELLEROSE, NY 11426-2100
(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
Other
Enumeration date
07/20/2012
Last updated
04/02/2016
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