Provider Demographics
NPI:1821605262
Name:SANDHAR, TEJVIR KAUR
Entity Type:Individual
Prefix:DR
First Name:TEJVIR
Middle Name:KAUR
Last Name:SANDHAR
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 1:1551 YORK AVE
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10028-6022
Mailing Address - Country:US
Mailing Address - Phone:212-988-4500
Mailing Address - Fax:
Practice Address - Street 1:1551 YORK AVE
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10028-6022
Practice Address - Country:US
Practice Address - Phone:212-988-4500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-09-29
Last Update Date:2021-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY067034183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist