Organization
KANWARPAUL S. GREWAL MEDICAL PLLC
Active
Organization
KANWARPAUL S. GREWAL MEDICAL PLLC
Active
Other names
Grewal Orthopedic and Spine Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KANWARPAUL S GREWAL DO (OWNER)
(516) 743-9450
Entity
Organization
Contact information
Practice address
30 MERRICK AVE STE 103, EAST MEADOW, NY 11554-1580
(516) 743-9450
(516) 743-9451
Mailing address
30 MERRICK AVE STE 103, EAST MEADOW, NY 11554-1580
(516) 743-9450
(516) 743-9451
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
—
—
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
—
—
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
—
—
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
—
—
207XX0801X
Orthopaedic Trauma Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03918421
—
NY
Enumeration date
06/20/2019
Last updated
12/17/2019
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