Healthcare Provider Details

I. General information

NPI: 1871238543
Provider Name (Legal Business Name): GURKAMALJOT KAUR MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/28/2022
Last Update Date: 07/15/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

680 WHITE PLAINS RD
SCARSDALE NY
10583-5042
US

IV. Provider business mailing address

1900 EMPIRE BLVD STE 100
WEBSTER NY
14580-1934
US

V. Phone/Fax

Practice location:
  • Phone: 312-219-2230
  • Fax:
Mailing address:
  • Phone: 585-787-0720
  • Fax: 585-787-9108

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number339910
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: