Individual
MR. KANWARPAUL S GREWAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D. O.
Contact information
Practice address
30 MERRICK AVE STE 103, EAST MEADOW, NY 11554-1580
(516) 743-9450
(516) 743-9451
Mailing address
30 MERRICK AVE STE 103, EAST MEADOW, NY 11554-1580
(516) 743-9450
(516) 743-9451
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
256297
NY
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
256297
NY
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
256297
NY
207XX0801X
Orthopaedic Trauma Physician
256297
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03918421
—
NY
Enumeration date
05/11/2008
Last updated
12/17/2019
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