Individual
MS. MANDEEP KAUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
625 ROCKAWAY TPKE, LAWRENCE, NY 11559-1029
(516) 750-0252
Mailing address
11 ETON ST, VALLEY STREAM, NY 11581-2903
(917) 254-5775
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
F309723-01
NY
363LG0600X
Gerontology Nurse Practitioner
Primary
309723
NY
Other
Enumeration date
01/05/2021
Last updated
02/07/2024
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