Provider Demographics
NPI:1215182092
Name:SINGH, RANU NADIRA (MS)
Entity Type:Individual
Prefix:MS
First Name:RANU
Middle Name:NADIRA
Last Name:SINGH
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2534 CRESCENT ST S APT 1M
Mailing Address - Street 2:
Mailing Address - City:ASTORIA
Mailing Address - State:NY
Mailing Address - Zip Code:11102-2927
Mailing Address - Country:US
Mailing Address - Phone:646-552-8717
Mailing Address - Fax:
Practice Address - Street 1:2534 CRESCENT ST S APT 1M
Practice Address - Street 2:
Practice Address - City:ASTORIA
Practice Address - State:NY
Practice Address - Zip Code:11102-2927
Practice Address - Country:US
Practice Address - Phone:646-552-8717
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-20
Last Update Date:2008-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY108721011174400000X, 222Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist
No174400000XOther Service ProvidersSpecialist