Provider Demographics
NPI:1225219215
Name:GURMEET KANWAL MDPC
Entity type:Organization
Organization Name:GURMEET KANWAL MDPC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:GURMEET
Authorized Official - Middle Name:S
Authorized Official - Last Name:KANWAL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:212-721-5504
Mailing Address - Street 1:275 CENTRAL PARK W
Mailing Address - Street 2:SUITE 1W
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10024-3015
Mailing Address - Country:US
Mailing Address - Phone:212-721-5504
Mailing Address - Fax:914-674-2436
Practice Address - Street 1:275 CENTRAL PARK W
Practice Address - Street 2:SUITE 1W
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10024-3015
Practice Address - Country:US
Practice Address - Phone:212-721-5504
Practice Address - Fax:914-674-2436
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-18
Last Update Date:2009-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1791762084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty