Healthcare Provider Details

I. General information

NPI: 1952553547
Provider Name (Legal Business Name): SUNITA KUMAR R.PH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/15/2008
Last Update Date: 10/15/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5 COUNTRY VILLAGE LANE
MANHASSET HILLS NY
11040
US

IV. Provider business mailing address

5 COUNTRY VILLAGE LANE
MANHASSET HILLS NY
11040
US

V. Phone/Fax

Practice location:
  • Phone: 516-775-6354
  • Fax:
Mailing address:
  • Phone: 516-775-6354
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number040536
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: