Individual
KUSUM VISWANATHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1 BROOKDALE PLZ, SUITE # 346, BROOKLYN, NY 11212-3139
(718) 240-5904
Mailing address
1 BROOKDALE PLZ, BROOKLYN, NY 11212-3139
(718) 240-5904
Taxonomy
Speciality
Code
Description
License number
State
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
164894
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00961826
—
NY
Enumeration date
09/28/2006
Last updated
11/21/2013
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