Mandal, Kumar S

Mandal, Kumar S is an sole proprietor health care provider with primary practice located at 2 Coraci Blvd Ste 10, Shirley NY 11967-4833. He recently has only one registered license in Allopathic & Osteopathic Physicians / Adult Medicine, which is considered as his primary health care specialty. Mandal, Kumar S can be contacted via phone (631) 281-2600.

Contact Information

Primary practice address
2 Coraci Blvd Ste 10 Shirley NY 11967-4833
Phone: (631) 281-2600
Fax: (631) 281-6732
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adult Medicine 207QA0505X 182787 New York

Profile Details

NPI number 1689676884
LBN Legal business name Mandal, Kumar S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 1st, 2005
Last updated Jun 2nd, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689676884 NPPES
New York MEDICAID 01519864

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