# BALJINDER K GREWAL MD PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1699397083
- **Authorized official:** DR. BALJINDER K GREWAL MD (OWNER)
- **Authorized official phone:** (516) 993-6393

## Contact information

- **Practice address:** 54 HEATHER LN, LEVITTOWN, NY 11756-3334
- **Practice address phone:** (516) 735-1116
- **Mailing address:** 54 HEATHER LN, LEVITTOWN, NY 11756-3334

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/08/2020
- **Last updated:** 05/08/2020