Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0700X | Prosthodontist | 051980 | NY |
NPI | 1134399124 |
---|---|
Provider Name | Dr. Kunal Lal |
First Address | New York, NY 10022-5602 |
Second Address | New York, NY 10022-5602 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/03/2008 |
Last Update Date | 05/03/2008 |