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NPI Code Detail

MEDICARE: MRS. BALJEET KAUR RN

MEDICARE: MRS. BALJEET KAUR RN
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
1163W00000XRegistered Nurse641558NY

General Provider Information

NPI Number : 1619213725
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. BALJEET KAUR RN
Provider Business Mailing Address
First Line : 6970 GRAND CENTRAL PKWY
Second Line :
City : FOREST HILLS
State : NY
Zip : 11375-3949
Country : US
Telephone Number : 718-263-4077
Fax Number :
Provider Business Practice Location Address
First Line : 6970 GRAND CENTRAL PKWY
Second Line :
City : FOREST HILLS
State : NY
Zip : 11375-3949
Country : US
Telephone Number : 718-263-4077
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/17/2012
Last Update Date : 12/17/2012

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