MEDICARE: DR. SUKHDEEP KAUR AHUJA M.D

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician	257871	NY

General Provider Information

NPI Number	:	1407090566
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SUKHDEEP KAUR AHUJA M.D

Provider Business Mailing Address
First Line	:	60 WESTWOOD DR
Second Line	:	APARTMENT 65
City	:	WESTBURY
State	:	NY
Zip	:	11590-1613
Country	:	US
Telephone Number	:	516-661-7916
Fax Number	:

Provider Business Practice Location Address
First Line	:	385 OAK ST
Second Line	:	MERCY MEDICAL CENTER
City	:	GARDEN CITY
State	:	NY
Zip	:	11530-6543
Country	:	US
Telephone Number	:	516-661-7916
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/20/2009
Last Update Date	:	08/23/2010

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