Provider Demographics
NPI:1851632145
Name:UPPAL, GURINDER KAUR (RD)
Entity Type:Individual
Prefix:MRS
First Name:GURINDER
Middle Name:KAUR
Last Name:UPPAL
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2584 KENSINGTON RD
Mailing Address - Street 2:
Mailing Address - City:EAST MEADOW
Mailing Address - State:NY
Mailing Address - Zip Code:11554-3419
Mailing Address - Country:US
Mailing Address - Phone:516-312-8142
Mailing Address - Fax:
Practice Address - Street 1:2584 KENSINGTON RD
Practice Address - Street 2:
Practice Address - City:EAST MEADOW
Practice Address - State:NY
Practice Address - Zip Code:11554-3419
Practice Address - Country:US
Practice Address - Phone:516-312-8142
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-11
Last Update Date:2013-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY926415133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered