Provider Demographics
NPI:1477904886
Name:KAUR, SARBJIT (OT)
Entity Type:Individual
Prefix:
First Name:SARBJIT
Middle Name:
Last Name:KAUR
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 LINDEN BLVD
Mailing Address - Street 2:
Mailing Address - City:HICKSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:11801-5917
Mailing Address - Country:US
Mailing Address - Phone:347-476-8086
Mailing Address - Fax:
Practice Address - Street 1:23001 GRAND CENTRAL PKWY
Practice Address - Street 2:
Practice Address - City:OAKLAND GARDENS
Practice Address - State:NY
Practice Address - Zip Code:11364-3100
Practice Address - Country:US
Practice Address - Phone:347-476-8086
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-27
Last Update Date:2020-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY020556225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist