Individual
BALJIT KAUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3340 59TH ST, WOODSIDE, NY 11377-2218
(718) 501-1129
Mailing address
3340 59TH ST, WOODSIDE, NY 11377-2218
(718) 501-1129
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
328902
NY
Other
Enumeration date
08/04/2017
Last updated
07/21/2022
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