Individual
MANISH KUMAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4417 VESTAL PKWY E, VESTAL, NY 13850-3556
(607) 797-1251
(607) 729-4393
Mailing address
33 LEWIS RD, 2ND FL, BINGHAMTON, NY 13905
(607) 729-8156
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
285259
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1024806310001
—
PA
Enumeration date
06/28/2007
Last updated
07/21/2022
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