Provider Demographics
NPI:1083885693
Name:SINGH, ANURAG (PHD)
Entity Type:Individual
Prefix:DR
First Name:ANURAG
Middle Name:
Last Name:SINGH
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5034 64TH ST
Mailing Address - Street 2:
Mailing Address - City:WOODSIDE
Mailing Address - State:NY
Mailing Address - Zip Code:11377-5805
Mailing Address - Country:US
Mailing Address - Phone:718-541-3271
Mailing Address - Fax:408-904-5893
Practice Address - Street 1:5034 64TH ST
Practice Address - Street 2:
Practice Address - City:WOODSIDE
Practice Address - State:NY
Practice Address - Zip Code:11377-5805
Practice Address - Country:US
Practice Address - Phone:718-541-3271
Practice Address - Fax:408-904-5893
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-22
Last Update Date:2008-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY016317103TC0700X, 103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical