Provider Demographics
NPI:1285038067
Name:SINGH, JASJIT KAUR (RPH)
Entity Type:Individual
Prefix:
First Name:JASJIT
Middle Name:KAUR
Last Name:SINGH
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:28 NEUSTADT LN
Mailing Address - Street 2:
Mailing Address - City:CHAPPAQUA
Mailing Address - State:NY
Mailing Address - Zip Code:10514-3804
Mailing Address - Country:US
Mailing Address - Phone:914-299-0431
Mailing Address - Fax:
Practice Address - Street 1:1 WESTCHESTER AVE
Practice Address - Street 2:
Practice Address - City:PORT CHESTER
Practice Address - State:NY
Practice Address - Zip Code:10573-4314
Practice Address - Country:US
Practice Address - Phone:914-935-3102
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-10-22
Last Update Date:2014-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY039215-1183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist