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Individual

GURBEJ VIRK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CNIM

Contact information

Practice address
140 ADAMS AVE, SUITE B-13, HAUPPAUGE, NY 11788-3618
(631) 560-4857
(631) 617-6023
Mailing address
140 ADAMS AVE, SUITE B-13, HAUPPAUGE, NY 11788-3618
(631) 560-4857
(631) 617-6023

Taxonomy

Speciality
Code
Description
License number
State
246ZE0500X
EEG Specialist/Technologist
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary
2874
NY
2472E0500X
EEG Technician

Other

Enumeration date
09/16/2016
Last updated
09/16/2016
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