DR. KUMAR S MANDAL


Address: 2 Coraci Blvd, Ste 10, Shirley, NY 11967-4833
Phone: 6312812600

DR. KUMAR S MANDAL (NPI# 1689676884) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1689676884
Entity Type Individual
Full Name DR. KUMAR S MANDAL
Credential M.D.
Practice Address 2 Coraci Blvd
Ste 10
Shirley
NY 11967-4833
Practice Telephone 6312812600
Practice Fax Number 6312816732
Mailing Telephone 6312812600
Mailing Fax Number 6312816732
Enumeration Date 2005-06-01
Last Update Date 2015-06-02
NPI Deactivation Date 03/20/2006
NPI Reactivation Date 2006-03-27
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207QA0505X Family Medicine
Specialization: Adult Medicine
182787 NY Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NY 01519864 05

Office Location

Street Address 2 CORACI BLVD
STE 10
City SHIRLEY
State NY
Zip Code 11967-4833

Providers in the same location

NPI Name Taxonomy Address Enumeration
1255650685 Neeru Kumar Internal Medicine 2 Coraci Blvd, Ste 11, Shirley, NY 11967-4833 2010-05-25
1447581723 Christopher Horsford Pt PC Physical Therapist 2 Coraci Blvd, Suite 2, Shirley, NY 11967-4833 2010-01-26
1689902702 Martha Ann Taylor Massage Therapist 2 Coraci Blvd, Suite 5, Shirley, NY 11967-4833 2009-12-01
1659609949 Gregory R Groth Massage Therapist 2 Coraci Blvd, Suite 5, Shirley, NY 11967-4833 2009-11-24
1003072356 Philip J. Makowski, Md, Pllc Exclusive Provider Organization 2 Coraci Blvd, Suite 17, Shirley, NY 11967-4833 2008-08-05
1619132925 Lisa M Kayser Physician Assistant 2 Coraci Blvd, Suite 10, Shirley, NY 11967-4833 2008-07-25
1518126788 Atul N. Shah, Md, PC Clinic/Center 2 Coraci Blvd, Suite 13 & 14, Shirley, NY 11967-4833 2008-06-03
1306005699 Anthony Tomasso, Do Pllc Family Medicine 2 Coraci Blvd, Ste #4, Shirley, NY 11967-4833 2008-06-03
1497924476 Kumar S Mandal Md PC Family Medicine 2 Coraci Blvd, Shirley, NY 11967-4833 2008-02-25
1720260870 Shirley Chiropractic Ctr. Chiropractor 2 Coraci Blvd, Suite 3, Shirley, NY 11967-4833 2007-11-30
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1588149744 Dawn Kirby Licensed Practical Nurse 8 Crestwood Drive, Shirley, NY 11967 2018-10-03
1538684451 Crystal E Gambles Licensed Practical Nurse 502 Wellwood Drive, Shirley, NY 11967 2017-08-11
1003330887 Aura Blum Care, Inc Licensed Practical Nurse 436 Auborn Av, Shirley, NY 11967 2017-08-02
1891239687 Holly Scott-rodriguez Behavior Technician 57 Probst Drive, Shirley, NY 11967 2016-12-13
1487106357 Joann C Duran Licensed Practical Nurse 320 Decatur Avenue, East Yaphank, NY 11967 2016-10-26
1053776815 Andrea Janet Murphy-hamilton Registered Nurse 369 Puritan Dr., N Shirley, NY 11967 2015-12-22
1588039598 Thomas B Maher Student in an Organized Health Care Education/Training Program 483 West End Ave., Shirley, NY 11967 2015-12-02
1346676707 Sharon Marie Dougherty Social Worker 1250 William Floyd Parkway, Shirley, NY 11967 2013-09-17
1083964241 Charlotte Dametra Fleming Licensed Practical Nurse 420 Lakepointe Drive, Middleisland, NY 11967 2012-09-14
1982954277 Sefika Dimaggio Registered Nurse 32 Candido Ave, Shirley, NY 11967 2012-09-13
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Taxonomy Information

Taxonomy Code 207QA0505X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine
Specialization Adult Medicine

Taxonomy Definition

Definition to come.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1982202073 Stella Macharia Family Medicine 100 Harvard Rd, Shirley, MA 01464 2020-10-12

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1083220677 Ellen Mcstravick Family Medicine 5530 Sheridan Dr Ste 2, Williamsville, NY 14221-3730 2020-09-18
1598384489 Jimmy Gelin Family Medicine 18639 140th Ave, Springfield Gardens, NY 11413-2617 2020-04-11
1871145011 Prince Aboagye Dankwah Family Medicine 157 Barnes Rd, Washingtonville, NY 10992-1931 2019-07-09
1194206441 Madison Physician Practice PC Family Medicine 983 Park Ave # 1d, New York, NY 10028-0808 2018-08-24
1245717115 Darlean James Family Medicine 183 Park St Ste 5678, Malone, NY 12953 2018-07-24
1609380617 Donna Yu Family Medicine 6402 8th Ave Ste 301, Brooklyn, NY 11220-4720 2017-11-29
1720591688 Jane S Ferraina Family Medicine 259 Boughton Hill Rd, Honeoye Falls, NY 14472-9706 2017-11-14
1245750918 Long Island Nurse Practitioners Family Medicine 97 Ronni Dr, East Meadow, NY 11554-1330 2017-06-23
1548700925 Special Medical PC Family Medicine 699 B Stanley Avenue, Brooklyn, NY 11207 2017-03-03
1043762404 Ji Medical Group PC Family Medicine 3825 Parsons Blvd, Ste 1g, Flushing, NY 11354-5837 2016-11-01
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Competitor

Search similar providers

City SHIRLEY
Zip Code 11967

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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