MEDICARE: CHRISPIN KAMBILI MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RI0200X	Infectious Disease Physician	2060061	NY

General Provider Information

NPI Number	:	1053560649
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISPIN KAMBILI MD

Provider Business Mailing Address
First Line	:	42-09 28TH STREET
Second Line	:	CN-48
City	:	LONG ISLAND CITY
State	:	NY
Zip	:	11101-4132
Country	:	US
Telephone Number	:	347-396-6299
Fax Number	:	347-396-6367

Provider Business Practice Location Address
First Line	:	34-33 JUNCTION BLVD
Second Line	:	CORONA CHEST CENTER FL2
City	:	JACKSON HEIGHTS
State	:	NY
Zip	:	11372-3828
Country	:	US
Telephone Number	:	718-396-5134
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/18/2008
Last Update Date	:	03/20/2024

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