Healthcare Provider Details

I. General information

NPI: 1912690173
Provider Name (Legal Business Name): KUMARIE UDIT MBBS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/01/2023
Last Update Date: 09/11/2023
Certification Date: 06/01/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

NASSAU UNIVERSITY MEDICAL CENTER 2201 HEMPSTEAD TURNPIKE
EAST MEADOW NY
11554
US

IV. Provider business mailing address

NASSAU UNIVERSITY MEDICAL CENTER 2201 HEMPSTEAD TURNPIKE
EAST MEADOW NY
11554
US

V. Phone/Fax

Practice location:
  • Phone: 516-572-0123
  • Fax: 516-572-5609
Mailing address:
  • Phone: 516-572-0123
  • Fax: 516-572-5609

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: