Provider Demographics
NPI:1871593137
Name:AHLUWALIA, BRIJ M (MD)
Entity type:Individual
Prefix:DR
First Name:BRIJ
Middle Name:M
Last Name:AHLUWALIA
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:19 BRADHURST AVE STE 3100N
Mailing Address - Street 2:
Mailing Address - City:HAWTHORNE
Mailing Address - State:NY
Mailing Address - Zip Code:10532-2140
Mailing Address - Country:US
Mailing Address - Phone:914-909-9018
Mailing Address - Fax:914-909-9028
Practice Address - Street 1:19 BRADHURST AVE STE 2850
Practice Address - Street 2:
Practice Address - City:HAWTHORNE
Practice Address - State:NY
Practice Address - Zip Code:10532-2183
Practice Address - Country:US
Practice Address - Phone:914-345-1313
Practice Address - Fax:914-345-5004
Is Sole Proprietor?:No
Enumeration Date:2005-07-28
Last Update Date:2021-12-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY111108-12084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY130023385OtherRAILROAD MEDICARE
NY00198921Medicaid
B12510Medicare UPIN
NYW7Z231Medicare PIN
299501Medicare ID - Type Unspecified