Basic Information
| Provider Information | |||||||||
| NPI: | 1124292982 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | HINDOLA KONRAD MD PC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 225 E 64TH ST | ||||||||
| Address2: | SUITE 11 | ||||||||
| City: | NEW YORK | ||||||||
| State: | NY | ||||||||
| PostalCode: | 100656690 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2127580388 | ||||||||
| FaxNumber: | 2037906738 | ||||||||
| Practice Location | |||||||||
| Address1: | 225 E 64TH ST | ||||||||
| Address2: | SUITE 11 | ||||||||
| City: | NEW YORK | ||||||||
| State: | NY | ||||||||
| PostalCode: | 100656690 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2127580388 | ||||||||
| FaxNumber: | 2037906738 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/14/2008 | ||||||||
| LastUpdateDate: | 12/09/2009 | ||||||||
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| AuthorizedOfficialLastName: | SCOTT | ||||||||
| AuthorizedOfficialFirstName: | KATHY | ||||||||
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| AuthorizedOfficialTitleorPosition: | ASSISTANT | ||||||||
| AuthorizedOfficialTelephone: | 2037940117 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207W00000X | 2007701 | NY | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Ophthalmology |
No ID Information.