Individual
KUNAL PATHAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
179 MANHATTAN AVE, JERSEY CITY, NJ 07307-3842
(201) 687-2452
Mailing address
179 MANHATTAN AVE, JERSEY CITY, NJ 07307-3842
(201) 687-2452
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
034307
NY
Other
Enumeration date
03/30/2012
Last updated
03/30/2012
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