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NPI Code Detail

MEDICARE: DR. NARINDER MOHAN KUKAR MD

MEDICARE: DR. NARINDER MOHAN KUKAR 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
1207RE0101XEndocrinology, Diabetes & Metabolism Physician111361NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
124594POTHERNYHIP
20086703OTHERNYAETNA
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4KS918OTHERNYOXFORD

General Provider Information

NPI Number : 1679582456
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. NARINDER MOHAN KUKAR MD
Provider Business Mailing Address
First Line : 6HEATHER LANE
Second Line :
City : MUTTONTOWN
State : NY
Zip : 11753-1302
Country : US
Telephone Number : 516-938-4965
Fax Number : 516-938-9446
Provider Business Practice Location Address
First Line : 385 SENECA AVE
Second Line :
City : RIDGEWOOD
State : NY
Zip : 11385-1340
Country : US
Telephone Number : 718-497-0060
Fax Number : 718-497-0060
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/07/2006
Last Update Date : 12/23/2011

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