Provider Demographics
NPI:1912690173
Name:UDIT, KUMARIE (MBBS)
Entity Type:Individual
Prefix:MISS
First Name:KUMARIE
Middle Name:
Last Name:UDIT
Suffix:
Gender:F
Credentials:MBBS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:NASSAU UNIVERSITY MEDICAL CENTER
Mailing Address - Street 2:2201 HEMPSTEAD TURNPIKE
Mailing Address - City:EAST MEADOW
Mailing Address - State:NY
Mailing Address - Zip Code:11554
Mailing Address - Country:US
Mailing Address - Phone:516-572-0123
Mailing Address - Fax:516-572-5609
Practice Address - Street 1:NASSAU UNIVERSITY MEDICAL CENTER
Practice Address - Street 2:2201 HEMPSTEAD TURNPIKE
Practice Address - City:EAST MEADOW
Practice Address - State:NY
Practice Address - Zip Code:11554
Practice Address - Country:US
Practice Address - Phone:516-572-0123
Practice Address - Fax:516-572-5609
Is Sole Proprietor?:No
Enumeration Date:2023-06-01
Last Update Date:2023-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program