Healthcare Provider Details

I. General information

NPI: 1790364107
Provider Name (Legal Business Name): RAJWINDER KAUR
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/04/2021
Last Update Date: 07/23/2025
Certification Date: 07/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2568 WALDEN AVE STE 103
CHEEKTOWAGA NY
14225-4760
US

IV. Provider business mailing address

2568 WALDEN AVE STE 103
CHEEKTOWAGA NY
14225-4760
US

V. Phone/Fax

Practice location:
  • Phone: 716-632-1088
  • Fax:
Mailing address:
  • Phone: 716-632-1088
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number696723
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: