Provider Demographics
NPI:1265679062
Name:KENSINGTON MEDICAL CARE P.C.
Entity Type:Organization
Organization Name:KENSINGTON MEDICAL CARE P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RPESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:HAMID
Authorized Official - Middle Name:
Authorized Official - Last Name:LALANI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:718-436-5731
Mailing Address - Street 1:260 OCEAN PARKWAY SUITE 1J
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11218
Mailing Address - Country:US
Mailing Address - Phone:718-436-5731
Mailing Address - Fax:
Practice Address - Street 1:260 OCEAN PKWY APT 1J
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11218-4044
Practice Address - Country:US
Practice Address - Phone:718-436-5731
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-15
Last Update Date:2009-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY130836207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00246795Medicaid
NY3188710Medicare PIN
NY00246795Medicaid