Individual
BALJINDER KAUR GREWAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
465 SMITHTOWN BLVD, NESCONSET, NY 11767-2421
(631) 767-6700
Mailing address
8414 246TH ST, BELLEROSE, NY 11426-1725
(516) 993-6393
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
25MA09037800
NJ
207Q00000X
Family Medicine Physician
Primary
265920-1
NY
Other
Enumeration date
01/13/2012
Last updated
08/21/2012
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