Provider Demographics
NPI:1083351126
Name:ATWAL, NAVNEET KAUR (MD)
Entity Type:Individual
Prefix:
First Name:NAVNEET
Middle Name:KAUR
Last Name:ATWAL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:NAVNEET
Other - Middle Name:
Other - Last Name:BRACAMONTE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:551 6TH AVE
Mailing Address - Street 2:
Mailing Address - City:NEW HYDE PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11040-5455
Mailing Address - Country:US
Mailing Address - Phone:631-252-2845
Mailing Address - Fax:
Practice Address - Street 1:1650 GRAND CONCOURSE
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10457-7606
Practice Address - Country:US
Practice Address - Phone:718-590-1800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-05-19
Last Update Date:2022-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program