Healthcare Provider Details

I. General information

NPI: 1215578141
Provider Name (Legal Business Name): DILDEEP KAUR PARMAR-GANDHI RN, FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: DILDEEP KAUR PARMAR RN, FNP

II. Dates (important events)

Enumeration Date: 10/02/2019
Last Update Date: 07/03/2026
Certification Date: 07/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7925 WINCHESTER BLVD
QUEENS VILLAGE NY
11427-2128
US

IV. Provider business mailing address

1615 NORTHERN BLVD STE GR1
MANHASSET NY
11030-3008
US

V. Phone/Fax

Practice location:
  • Phone: 929-348-3453
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number354294
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code163WP0809X
TaxonomyAdult Psychiatric/Mental Health Registered Nurse
License Number765253
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: