Individual
DR. PRAVEEN KUMRAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
2015 GRAND CONCOURSE, BRONX, NY 10453-4303
(718) 299-7295
(718) 299-6797
Mailing address
133 FINCH RD, RINGWOOD, NJ 07456-2427
(718) 618-0401
(347) 479-1303
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
N005801
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02146532
—
NY
Enumeration date
08/09/2005
Last updated
09/08/2022
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