Provider Demographics
NPI:1063037653
Name:KAUR, RAJKAMAL (AGPCNP-BC)
Entity Type:Individual
Prefix:MS
First Name:RAJKAMAL
Middle Name:
Last Name:KAUR
Suffix:
Gender:F
Credentials:AGPCNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9 METROTECH CENTER
Mailing Address - Street 2:2ND FLOOR : BHS-WTC HEALTH PROGRAM
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11201
Mailing Address - Country:US
Mailing Address - Phone:718-999-1877
Mailing Address - Fax:718-999-0080
Practice Address - Street 1:9 METROTECH CENTER
Practice Address - Street 2:2ND FLOOR : BHS-WTC HEALTH MONITORING PROGRAM
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11201
Practice Address - Country:US
Practice Address - Phone:718-999-1877
Practice Address - Fax:718-999-0080
Is Sole Proprietor?:Yes
Enumeration Date:2020-06-10
Last Update Date:2021-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY309591363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health