KISHORE S AGRAWAL MD

NORTH SHORE-LIJ MEDICAL PC

Dr KISHORE S AGRAWAL MD is a male medical professional, specializing in General Surgery. He graduated in 1975.

Contact

NORTH SHORE-LIJ MEDICAL PC

475 SEAVIEW AVE
STATEN ISLAND
NY
103053436

Tel: 2124346980

KISHORE S AGRAWAL MD Information

Npi 1679540603
Pac Id 1658476379
Professional Enrollment Id I20070425000023
Last Name AGRAWAL
First Name KISHORE
Middle Name S
Suffix
Gender M
Credential MD
Medical School Name OTHER
Graduation Year 1975
Primary Specialty GENERAL SURGERY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name NORTH SHORE-LIJ MEDICAL PC
Group Practice Pac Id 3375701568
Number Of Group Practice Members 3220
Line 1 Street Address 475 SEAVIEW AVE
Line 2 Street Address
Marker Of Address Line 2 Suppression
City STATEN ISLAND
State NY
Zip Code 103053436
Phone Number 2124346980
Hospital Affiliation Ccn 1 330160
Hospital Affiliation Lbn 1 STATEN ISLAND UNIVERSITY HOSPITAL
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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