Provider Demographics
NPI:1689957508
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:MEDICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:HAMID
Authorized Official - Middle Name:J
Authorized Official - Last Name:LALANI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:914-761-8287
Mailing Address - Street 1:6318 AUSTIN ST
Mailing Address - Street 2:
Mailing Address - City:REGO PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11374-2923
Mailing Address - Country:US
Mailing Address - Phone:914-761-8287
Mailing Address - Fax:914-761-5765
Practice Address - Street 1:6318 AUSTIN ST
Practice Address - Street 2:
Practice Address - City:REGO PARK
Practice Address - State:NY
Practice Address - Zip Code:11374-2923
Practice Address - Country:US
Practice Address - Phone:914-761-8287
Practice Address - Fax:914-761-5765
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-27
Last Update Date:2011-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty