Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | 256574 | NY |
Y | 111NI0900X | Internist | 256574 | NY |
N | 207RG0300X | Geriatric Medicine | 256574 | NY |
NPI | 1013232396 |
---|---|
Provider Name | Syed Adil Kamal |
First Address | Roslyn Heights, NY 11577-2110 |
Second Address | Roslyn Heights, NY 11577-2110 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/03/2010 |
Last Update Date | 16/02/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
03225252 | (05) | NY |