Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207XS0117X | Orthopaedic Spine Surgeon | 25MA10893600 | NJ |
Y | 207XS0117X | Orthopaedic Spine Surgeon | 280111 | NY |
N | 207XS0117X | Orthopaedic Spine Surgeon | 303413 | LA |
NPI | 1033596101 |
---|---|
Provider Name | Mr. Abhishek Kumar |
First Address | Syosset, NY 11791-5302 |
Second Address | Brooklyn, NY 11235-2792 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/04/2015 |
Last Update Date | 26/04/2021 |