1811198872 NPI number — ANNEY KUNTHARA JOSEPH O.D.

Table of content: ANNEY KUNTHARA JOSEPH O.D. (NPI 1811198872)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1811198872 NPI number — ANNEY KUNTHARA JOSEPH O.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
JOSEPH
Provider First Name:
ANNEY
Provider Middle Name:
KUNTHARA
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
O.D.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
KUNTHARA
Provider Other First Name:
ANNEY
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
O.D.
Provider Other Last Name Type Code:
5

NPI Number Information

NPI Number:
1811198872
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
05/22/2019
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2700 WESTCHESTER AVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
PURCHASE
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
10577-2547
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
914-607-5730
Provider Business Mailing Address Fax Number:
914-457-1195

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1 THEALL RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
RYE
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10580-1404
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
914-848-8999
Provider Business Practice Location Address Fax Number:
914-848-8998
Provider Enumeration Date:
05/29/2007

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 152W00000X , with the licence number:  003092 , registered in the state of CT ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 152W00000X , with the licence number: 7161T , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 152W00000X , with the licence number: 008896 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)