Individual
DR. ATUL MAINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6519 BORDEN AVE, MASPETH, NY 11378-1630
(718) 899-0060
(718) 899-0175
Mailing address
1 BETHANY RD STE 91, HAZLET, NJ 07730-1669
(732) 847-3662
(732) 344-6963
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
245574
NY
207RN0300X
Nephrology Physician
Primary
25MA09258400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02965864
—
NY
Enumeration date
08/17/2007
Last updated
08/16/2022
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