Provider Demographics
NPI:1891066932
Name:KINI MD LLC
Entity Type:Organization
Organization Name:KINI MD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JYOTI
Authorized Official - Middle Name:
Authorized Official - Last Name:KINI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:917-216-4044
Mailing Address - Street 1:235 E 40TH ST
Mailing Address - Street 2:16G
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016-1744
Mailing Address - Country:US
Mailing Address - Phone:917-216-4044
Mailing Address - Fax:
Practice Address - Street 1:235 E 40TH ST
Practice Address - Street 2:16G
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-1744
Practice Address - Country:US
Practice Address - Phone:917-216-4044
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-20
Last Update Date:2012-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY247314207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty