Provider Demographics
NPI:1366039638
Name:SINA MEDICAL ASSOCIATES LIMITED LIABILITY COMPANY
Entity type:Organization
Organization Name:SINA MEDICAL ASSOCIATES LIMITED LIABILITY COMPANY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:
Authorized Official - First Name:ABUL
Authorized Official - Middle Name:
Authorized Official - Last Name:KASHEM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:917-306-8073
Mailing Address - Street 1:2512 148TH ST
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11354-1433
Mailing Address - Country:US
Mailing Address - Phone:646-760-4340
Mailing Address - Fax:646-837-7485
Practice Address - Street 1:1735 N OCEAN AVE STE B
Practice Address - Street 2:
Practice Address - City:MEDFORD
Practice Address - State:NY
Practice Address - Zip Code:11763-2671
Practice Address - Country:US
Practice Address - Phone:631-627-6133
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-21
Last Update Date:2024-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207ZI0100XAllopathic & Osteopathic PhysiciansPathologyImmunopathologyGroup - Single Specialty