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Dr. Kumar S Mandal, MD
Adult Medicine Physician in Shirley, New York
NPI 1689676884

Kumar S Mandal is an Adult Medicine Physician based in Shirley, NY and is specialized in Adult Medicine. Kumar S Mandal practices in Shirley, NY and has the professional credentials of MD. The NPI Number for Kumar S Mandal is 1689676884 and holds a License No. 182787 (New York).

The current practice location address for Kumar S Mandal is 2 Coraci Blvd, Shirley, NY and can be reached out via phone at 631-281-2600 and via fax at 631-281-6732.

Location: 2 Coraci Blvd, Shirley, NY, 11967-4833
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1689676884
Provider Name
Kumar S Mandal
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2 Coraci Blvd, Shirley, NY, 11967-4833
Phone Number
631-281-2600
Fax Number
631-281-6732
Provider Enumeration Date
06/01/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
01519864 05 NY
institution
Provider Business Practice Location Address Details
Address
2 Coraci Blvd
City
Shirley
State
New York
Zip
11967-4833
Phone Number
631-281-2600
Fax Number
631-281-6732
person
Provider Business Mailing Address Details
Address
2 Coraci Blvd
City
Shirley
State
New York
Zip
11967-4833
Phone Number
631-281-2600
Fax Number
631-281-6732
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
Adult Medicine
Taxonomy
207QA0505X
License No.
182787 (New York)
Definition
Definition to come.
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