Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0210X | Pediatric Nephrologist | 294991 | NY |
NPI | 1689068637 |
---|---|
Provider Name | Kumail Merchant |
First Address | Mineola, NY 11501-2529 |
Second Address | Mineola, NY 11501-2529 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/03/2015 |
Last Update Date | 09/09/2021 |