Organization
BALJINDER K GREWAL MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BALJINDER K GREWAL MD (OWNER)
(516) 993-6393
Entity
Organization
Contact information
Practice address
54 HEATHER LN, LEVITTOWN, NY 11756-3334
(516) 735-1116
Mailing address
54 HEATHER LN, LEVITTOWN, NY 11756-3334
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03761199
—
NY
Enumeration date
05/08/2020
Last updated
05/08/2020
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