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General NPI Number Information
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NPI Number | 1225219215
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Entity Type | Organization
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Legal Business Name | GURMEET KANWAL MDPC
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Dates
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Enumeration Date | 11/18/2007
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Last Update Date | 06/06/2009
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Provider Practice Location Address
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Address Line | 275 CENTRAL PARK W SUITE 1W
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City | NEW YORK
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State | NY
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Zip | 10024-3015
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Country | US
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Telephone | 212-721-5504
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Fax | 914-674-2436
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Provider Business Mailing Address
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Address Line | 275 CENTRAL PARK W SUITE 1W
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City | NEW YORK
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State | NY
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Zip | 10024-3015
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Country | US
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Telephone | 212-721-5504
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Fax | 914-674-2436
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. GURMEET S. KANWAL
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Credential | M.D.
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Telephone | 212-721-5504
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 179176
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License Number State | NY
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