Healthcare Provider Details

I. General information

NPI: 1447169263
Provider Name (Legal Business Name): MANINDER KAUR MULTANI FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MANINDER KAUR

II. Dates (important events)

Enumeration Date: 09/07/2026
Last Update Date: 09/07/2026
Certification Date: 09/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

95 CLAREMONT AVE
WEST BABYLON NY
11704-3918
US

IV. Provider business mailing address

95 CLAREMONT AVE
WEST BABYLON NY
11704-3918
US

V. Phone/Fax

Practice location:
  • Phone: 718-666-2416
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number360127
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: