Provider Demographics
NPI:1215058821
Name:DHAMOON, SATWANT KAUR (FACOG)
Entity type:Individual
Prefix:DR
First Name:SATWANT
Middle Name:KAUR
Last Name:DHAMOON
Suffix:
Gender:F
Credentials:FACOG
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:44 LAURIE DR
Mailing Address - Street 2:
Mailing Address - City:ENGLEWOOD CLIFFS
Mailing Address - State:NJ
Mailing Address - Zip Code:07632-2221
Mailing Address - Country:US
Mailing Address - Phone:201-567-0515
Mailing Address - Fax:212-246-3430
Practice Address - Street 1:230 CENTRAL PARK S
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10019-1409
Practice Address - Country:US
Practice Address - Phone:212-246-3381
Practice Address - Fax:212-246-3430
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY123489207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYB19546Medicare UPIN
NY838961Medicare ID - Type Unspecified