MEDICARE: DR. NEERAJ KAUSHIK 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	174400000X	Specialist	241494	NY

General Provider Information

NPI Number	:	1376517847
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NEERAJ KAUSHIK MD

Provider Business Mailing Address
First Line	:	2200 NORTHERN BLVD STE 212
Second Line	:
City	:	GREENVALE
State	:	NY
Zip	:	11548-1220
Country	:	US
Telephone Number	:	516-437-6900
Fax Number	:

Provider Business Practice Location Address
First Line	:	2200 NORTHERN BLVD STE 212
Second Line	:
City	:	GREENVALE
State	:	NY
Zip	:	11548-1220
Country	:	US
Telephone Number	:	516-590-3700
Fax Number	:

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

Provider Enumeration Date	:	02/14/2006
Last Update Date	:	11/07/2023

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