Provider Demographics
NPI:1053585414
Name:BHOMIA, GURPREET K (PSYD)
Entity type:Individual
Prefix:DR
First Name:GURPREET
Middle Name:K
Last Name:BHOMIA
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:199 CHAMBERS STREET
Mailing Address - Street 2:ATTN: S 343 (COUNSELING CENTER)
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10007-1044
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:199 CHAMBERS STREET
Practice Address - Street 2:ATTN: S 343 (COUNSELING CENTER)
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10007-1044
Practice Address - Country:US
Practice Address - Phone:212-220-8146
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-16
Last Update Date:2020-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY016481103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical