Provider Demographics
NPI:1528379385
Name:KAUR-KANG, SANDEEP (OTR/L)
Entity Type:Individual
Prefix:MRS
First Name:SANDEEP
Middle Name:
Last Name:KAUR-KANG
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8218 256TH ST
Mailing Address - Street 2:
Mailing Address - City:GLEN OAKS
Mailing Address - State:NY
Mailing Address - Zip Code:11004-1418
Mailing Address - Country:US
Mailing Address - Phone:718-347-2674
Mailing Address - Fax:
Practice Address - Street 1:2144 EDELWEISS LOOP
Practice Address - Street 2:
Practice Address - City:TRINITY
Practice Address - State:FL
Practice Address - Zip Code:34655-4944
Practice Address - Country:US
Practice Address - Phone:516-851-0167
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-06-27
Last Update Date:2019-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY015040-1225X00000X
FL18892225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist