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:
Health care specialties
| Specialty | Code | License # | 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 10 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 | 1689676884 | NPPES |
| New York | MEDICAID | 01519864 |
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