Viswanathan, Kusum
Viswanathan, Kusum is an individual health care provider with primary practice located at 1 Brookdale Plz Suite # 346, Brooklyn NY 11212-3139. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology, which is considered as her primary health care specialty. Viswanathan, Kusum can be contacted via phone (718) 240-5904.Contact Information
Primary practice address
1 Brookdale Plz Suite # 346
Brooklyn NY 11212-3139
Phone: (718) 240-5904
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology | 2080P0207X | 164894 | New York |
Profile Details
| NPI number | 1790876126 |
|---|---|
| LBN Legal business name | Viswanathan, Kusum |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 28th, 2006 |
| Last updated | Nov 21st, 2013 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1790876126 | NPPES |
| New York | MEDICAID | 00961826 |
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