Provider Demographics
NPI:1164955126
Name:CORPORATION NAME:KAMIL,CORP.
Entity Type:Organization
Organization Name:CORPORATION NAME:KAMIL,CORP.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:GABRIELA
Authorized Official - Middle Name:BALCZYRAK
Authorized Official - Last Name:LICHOSYT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:516-305-5788
Mailing Address - Street 1:974 BENRIS AVE
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN SQUARE
Mailing Address - State:NY
Mailing Address - Zip Code:11010-2437
Mailing Address - Country:US
Mailing Address - Phone:516-305-5788
Mailing Address - Fax:
Practice Address - Street 1:974 BENRIS AVE
Practice Address - Street 2:
Practice Address - City:FRANKLIN SQUARE
Practice Address - State:NY
Practice Address - Zip Code:11010-2437
Practice Address - Country:US
Practice Address - Phone:516-305-5788
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-06
Last Update Date:2017-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care