Healthcare Provider Details

I. General information

NPI: 1053980862
Provider Name (Legal Business Name): HARPREET KAUR HIRA CRNA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/24/2021
Last Update Date: 09/11/2026
Certification Date: 09/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

560 W 168TH ST
NEW YORK NY
10032-3917
US

IV. Provider business mailing address

560 W 168TH ST
NEW YORK NY
10032-3917
US

V. Phone/Fax

Practice location:
  • Phone: 212-305-4318
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number621761-01
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: