Basic Information
| Provider Information | |||||||||
| NPI: | 1902880255 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | KUMAR | ||||||||
| FirstName: | SMITA | ||||||||
| MiddleName: | RAJEEV | ||||||||
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| Credential: | M.D | ||||||||
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| Mailing Information | |||||||||
| Address1: | 6 PHEASANT RUN | ||||||||
| Address2: | |||||||||
| City: | SCARSDALE | ||||||||
| State: | NY | ||||||||
| PostalCode: | 105833141 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7182316565 | ||||||||
| FaxNumber: | 7182318477 | ||||||||
| Practice Location | |||||||||
| Address1: | 4350 VAN CORTLANDT PARK E | ||||||||
| Address2: | |||||||||
| City: | BRONX | ||||||||
| State: | NY | ||||||||
| PostalCode: | 104701875 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7182316565 | ||||||||
| FaxNumber: | 7182318477 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/30/2005 | ||||||||
| LastUpdateDate: | 07/23/2013 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207KA0200X | 163227 | NY | Y | Allopathic & Osteopathic Physicians | Allergy & Immunology | Allergy |
No ID Information.