Healthcare Provider Details

I. General information

NPI: 1194582437
Provider Name (Legal Business Name): SIMARPREET KAUR RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/04/2024
Last Update Date: 03/04/2024
Certification Date: 03/04/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8143 266TH ST
FLORAL PARK NY
11004-1538
US

IV. Provider business mailing address

8143 266TH ST
FLORAL PARK NY
11004-1538
US

V. Phone/Fax

Practice location:
  • Phone: 718-772-1766
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WN0800X
TaxonomyNeuroscience Registered Nurse
License Number860223
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: