Doctor Name: | MS. MANPREET KAUR |
NPI Number: | 1285910711 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PA |
License Number: | 012812 |
Business Practice Address: | 1936 77th St East Elmhurst, NY - 113701207 |
Business Phone Number: | 7183107909 |
Business Fax Number: | |
Mailing Address: | 1936 77th St, EAST ELMHURST |
State: | NY |
Postal Code: | 113701207 |
Phone Number: | 7183107909 |
Fax Number: | |
NPI Enumeration Date: | 10/28/2011 |
NPI Last Update Date: | 10/28/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AS0400X |
License Number: | 012812 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Surgical |
Taxonomy Definition: |