Baljinder K Grewal Md Pllc | |
54 Heather Ln Levittown NY 11756-3334 | |
(516) 735-1116 | |
Not Available |
Full Name | Baljinder K Grewal Md Pllc |
---|---|
Speciality | Family Medicine |
Location | 54 Heather Ln, Levittown, New York |
Authorized Official Name and Position | Baljinder K Grewal (OWNER) |
Authorized Official Contact | 5169936393 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Baljinder K Grewal Md Pllc 54 Heather Ln Levittown NY 11756-3334 Ph: () - | Baljinder K Grewal Md Pllc 54 Heather Ln Levittown NY 11756-3334 Ph: (516) 735-1116 |
NPI Number | 1699397083 |
---|---|
Provider Enumeration Date | 05/08/2020 |
Last Update Date | 05/08/2020 |
Medicare PECOS PAC ID | 4587086723 |
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Medicare Enrollment ID | O20200617001309 |
Identifier | Type | State | Issuer |
---|---|---|---|
1699397083 | NPI | - | NPPES |
03761199 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Baljinder K Grewal |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1619248135 PECOS PAC ID: 8325294705 Enrollment ID: I20120820000328 |
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