Healthcare Provider Details

I. General information

NPI: 1821924374
Provider Name (Legal Business Name): GAGANDEEP SINGH MULTANI
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/22/2026
Last Update Date: 06/22/2026
Certification Date: 06/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

54 FRANCES CT
LEVITTOWN NY
11756-1713
US

IV. Provider business mailing address

54 FRANCES CT
LEVITTOWN NY
11756-1713
US

V. Phone/Fax

Practice location:
  • Phone: 917-251-5804
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number746390-01
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number746390-01
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: