Provider Demographics
NPI:1376234146
Name:GREWAL, JASMIN
Entity Type:Individual
Prefix:MISS
First Name:JASMIN
Middle Name:
Last Name:GREWAL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17 CORAL SPRINGS PARK N.E.
Mailing Address - Street 2:
Mailing Address - City:CALGARY
Mailing Address - State:ALBERTA
Mailing Address - Zip Code:T3J3R1
Mailing Address - Country:CA
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:NASSAV UNIVERSITY MEDICAL CENTER
Practice Address - Street 2:2201 HEMPSTEAD TURNPIKE
Practice Address - City:EAST MEADOW
Practice Address - State:NY
Practice Address - Zip Code:11554
Practice Address - Country:US
Practice Address - Phone:516-572-6637
Practice Address - Fax:516-572-5100
Is Sole Proprietor?:No
Enumeration Date:2023-05-15
Last Update Date:2023-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program