Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kingston Surgical, PLLC

Organization Surgery Physician · NPI 1700950326

Kingston Surgical, PLLC is a Surgery Physician in Kingston, New York. Licensed in New York. Registered with an NPI since 2006.

Licensed in
NY
In the registry since
2006
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

40 Hurley Ave Ste 17
Kingston, NY 12401-3739
Phone: (845) 338-3212
Fax: (845) 339-0299
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 136378-1 (NY)

Record details

NPI number1700950326
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kalyan Venkat — Sole Proprietor · (845) 338-3212
NPI enumeratedNovember 17, 2006
Last updated in NPPESAugust 22, 2020
Mailing address40 Hurley Ave, Suite 17, Kingston, NY 12401-3739

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