Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0210X | Pediatric Nephrologist | 136212 | NY |
NPI | 1396827697 |
---|---|
Provider Name | Dr. Kusum Kumar |
First Address | Brooklyn, NY 11206 |
Second Address | Brooklyn, NY 11206 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/10/2006 |
Last Update Date | 29/04/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
6716322 | (05) | NY |