Organization
KWB FIRSTWATCH MEDICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIVANJIT KAUR (OWNER)
(718) 644-9410
Entity
Organization
Contact information
Practice address
302 BROADWAY, BROOKLYN, NY 11211-7308
(718) 384-0010
(718) 599-4632
Mailing address
1416 MADISON ST, ELMONT, NY 11003-1308
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
—
NY
Other
Enumeration date
10/28/2015
Last updated
10/28/2015
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