Madom, Kumar
Madom, Kumar is an individual health care provider with primary practice located at 5225 Nesconset Hwy Suite 35, Port Jefferson Station NY 11776. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Madom, Kumar can be contacted via phone (631) 331-3232.Contact Information
Primary practice address
5225 Nesconset Hwy Suite 35
Port Jefferson Station NY 11776
Phone: (631) 331-3232
Fax: (631) 928-4910
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 115212 | New York |
Profile Details
| NPI number | 1174612964 |
|---|---|
| LBN Legal business name | Madom, Kumar |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 12th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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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