Individual
BALJEET GREWAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
109 SOUTH ST, NEW HYDE PARK, NY 11040-2422
(516) 309-2311
Mailing address
109 SOUTH ST, NEW HYDE PARK, NY 11040-2422
(516) 309-2311
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F311481
NY
Other
Enumeration date
09/25/2023
Last updated
09/25/2023
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