Individual
MS. MANPREET KAUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1936 77TH ST, EAST ELMHURST, NY 11370-1207
(718) 310-7909
Mailing address
1936 77TH ST, EAST ELMHURST, NY 11370-1207
(718) 310-7909
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
012812
NY
Other
Enumeration date
10/28/2011
Last updated
10/28/2011
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