Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 256297 | NY |
Y | 207XS0117X | Orthopaedic Spine Surgeon | 256297 | NY |
N | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | 256297 | NY |
N | 207XX0801X | Orthopaedic Trauma Surgeon | 256297 | NY |
NPI | 1144497033 |
---|---|
Provider Name | Mr. Kanwarpaul S Grewal |
First Address | East Meadow, NY 11554-1580 |
Second Address | East Meadow, NY 11554-1580 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/05/2008 |
Last Update Date | 17/12/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
03918421 | (05) | NY |