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Individual

SURINDER S SANDHU

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
585 MERRICK RD, LYNBROOK, NY 11563-2311
(516) 224-4156
(516) 224-4156
Mailing address
585 MERRICK RD, LYNBROOK, NY 11563-2311
(516) 224-4156
(516) 224-4156

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
205145
NY
207R00000X
Internal Medicine Physician
205145
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01854457
NY
Enumeration date
06/08/2006
Last updated
08/08/2011
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