Individual
MR. BIJU G KAINIKUNNEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
760 BROADWAY, BROOKLYN, NY 11206-5317
(718) 963-8070
(718) 630-3030
Mailing address
760 BROADWAY, BROOKLYN, NY 11206-5317
(718) 963-8070
(718) 630-3030
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
073203
NY
Other
Enumeration date
11/18/2010
Last updated
11/18/2010
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