Provider Demographics
NPI:1396487799
Name:SUKHJITKAUR LLC
Entity type:Organization
Organization Name:SUKHJITKAUR LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE PRACTITIONER
Authorized Official - Prefix:
Authorized Official - First Name:SUKHJIT
Authorized Official - Middle Name:
Authorized Official - Last Name:KAUR
Authorized Official - Suffix:
Authorized Official - Credentials:FNP
Authorized Official - Phone:516-445-6977
Mailing Address - Street 1:218 N WYOMING AVE
Mailing Address - Street 2:
Mailing Address - City:MASSAPEQUA
Mailing Address - State:NY
Mailing Address - Zip Code:11758-1567
Mailing Address - Country:US
Mailing Address - Phone:516-445-6977
Mailing Address - Fax:
Practice Address - Street 1:218 N WYOMING AVE
Practice Address - Street 2:
Practice Address - City:MASSAPEQUA
Practice Address - State:NY
Practice Address - Zip Code:11758-1567
Practice Address - Country:US
Practice Address - Phone:516-445-6977
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-07
Last Update Date:2022-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care