Provider Demographics
NPI:1437821238
Name:GURU, RUPINDER KAUR (OD)
Entity Type:Individual
Prefix:DR
First Name:RUPINDER
Middle Name:KAUR
Last Name:GURU
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10917 120TH ST FL 3
Mailing Address - Street 2:
Mailing Address - City:SOUTH OZONE PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11420-1334
Mailing Address - Country:US
Mailing Address - Phone:929-471-4357
Mailing Address - Fax:
Practice Address - Street 1:1726 HEMPSTEAD TPKE
Practice Address - Street 2:
Practice Address - City:ELMONT
Practice Address - State:NY
Practice Address - Zip Code:11003-1856
Practice Address - Country:US
Practice Address - Phone:516-209-5168
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-09-30
Last Update Date:2021-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY009471152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist