Individual
VINITA T KUKKAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MBBS
Contact information
Practice address
33-57 HARRISON ST, JOHNSON CITY, NY 13790-2107
(077) 636-2856
(607) 763-6701
Mailing address
33 LEWIS RD, 2ND FL, BINGHAMTON, NY 13905
(607) 729-8156
(607) 729-3982
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
299352
NY
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
IP1419
KY
Other
Enumeration date
04/22/2013
Last updated
06/04/2019
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