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DR. SUPREET KAUR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
300 COMMUNITY DR, MANHASSET, NY 11030-3816
(303) 601-6464
Mailing address
2 SPRUCE ST, GREAT NECK, NY 11021-3812

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
0101251536
VA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2727
PIN
NY
Enumeration date
09/22/2010
Last updated
11/09/2015
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