Provider Demographics
NPI:1154118149
Name:KAUR, MANINDER (FNP)
Entity type:Individual
Prefix:
First Name:MANINDER
Middle Name:
Last Name:KAUR
Suffix:
Gender:
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:106 WILLIAM ST
Mailing Address - Street 2:
Mailing Address - City:HICKSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:11801-2824
Mailing Address - Country:US
Mailing Address - Phone:646-643-4332
Mailing Address - Fax:
Practice Address - Street 1:6860 AUSTIN ST STE 10
Practice Address - Street 2:
Practice Address - City:FOREST HILLS
Practice Address - State:NY
Practice Address - Zip Code:11375-4236
Practice Address - Country:US
Practice Address - Phone:718-997-7100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-22
Last Update Date:2025-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY355848363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily