Individual
GAGANDEEP KAUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
333 BROADWAY, AMITYVILLE, NY 11701-2719
(631) 789-2020
(631) 789-5669
Mailing address
333 BROADWAY, AMITYVILLE, NY 11701-2719
(631) 789-2020
(631) 789-5669
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F307008
NY
Other
Enumeration date
04/02/2015
Last updated
04/02/2015
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