Provider Demographics
NPI:1023551975
Name:SINGH, VINOD (DPT)
Entity Type:Individual
Prefix:DR
First Name:VINOD
Middle Name:
Last Name:SINGH
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:34 MORRIS DR
Mailing Address - Street 2:
Mailing Address - City:NEW HYDE PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11040-3728
Mailing Address - Country:US
Mailing Address - Phone:516-457-1476
Mailing Address - Fax:
Practice Address - Street 1:23 HILLSIDE AVE
Practice Address - Street 2:
Practice Address - City:WILLISTON PARK
Practice Address - State:NY
Practice Address - Zip Code:11596-2357
Practice Address - Country:US
Practice Address - Phone:516-307-1515
Practice Address - Fax:516-307-1514
Is Sole Proprietor?:Yes
Enumeration Date:2016-11-27
Last Update Date:2020-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0410492251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic