MEDICARE: HARLEEN KAUR

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2085R0202X	Diagnostic Radiology Physician	P121870	NY
2	2085R0202X	Diagnostic Radiology Physician	342326	NY

General Provider Information

NPI Number	:	1538949284
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HARLEEN KAUR

Provider Business Mailing Address
First Line	:	630 W 168TH ST # MC-28
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10032-3725
Country	:	US
Telephone Number	:	212-305-5777
Fax Number	:

Provider Business Practice Location Address
First Line	:	630 W 168TH ST # MC-28
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10032-3725
Country	:	US
Telephone Number	:	212-305-5777
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/02/2023
Last Update Date	:	06/02/2026

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Directions to “ HARLEEN KAUR ” Practice Location

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