Komal Kumar Kukkar, PT
Physical Therapist in South Richmond Hill, NY. Individual provider (NPI-1).
NPI number1124452230
StatusActive
Last updated in NPPESDec 11, 2013
Details
- NPI
- 1124452230
- Entity type
- Individual (NPI-1)
- Name
- Komal Kumar Kukkar
- Credential
- PT
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Aug 26, 2013
- Last updated
- Dec 11, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 036783 | NY | Yes |
Practice location
11515 101st AveSouth Richmond Hill, NY 11419-1247
Phone 312-810-8455
Mailing address
130 Tuers AveApt 130
Jersey City, NJ 07306-3216
Phone 312-810-8455
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All 7 Physical Therapist providers in South Richmond Hill · All 473 providers in South Richmond Hill
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