Provider Demographics
NPI:1639412877
Name:KINGS COUNTY INFECTIOUS DISEASE P.C
Entity Type:Organization
Organization Name:KINGS COUNTY INFECTIOUS DISEASE P.C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ZEYAR
Authorized Official - Middle Name:
Authorized Official - Last Name:THET
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:347-922-0503
Mailing Address - Street 1:33 DAHLGREN PL
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11228-3503
Mailing Address - Country:US
Mailing Address - Phone:347-922-0503
Mailing Address - Fax:929-274-2868
Practice Address - Street 1:13621 ROOSEVELT AVE #1FL
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11354-5655
Practice Address - Country:US
Practice Address - Phone:347-922-0503
Practice Address - Fax:929-274-2868
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-05
Last Update Date:2024-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious DiseaseGroup - Single Specialty