Provider Demographics
NPI:1326073552
Name:SINGH, PUSHPINDER (MD)
Entity Type:Individual
Prefix:DR
First Name:PUSHPINDER
Middle Name:
Last Name:SINGH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:970 N BROADWAY
Mailing Address - Street 2:SUITE 310
Mailing Address - City:YONKERS
Mailing Address - State:NY
Mailing Address - Zip Code:10701-1309
Mailing Address - Country:US
Mailing Address - Phone:914-966-1426
Mailing Address - Fax:914-412-9990
Practice Address - Street 1:970 N BROADWAY
Practice Address - Street 2:SUITE 310
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10701-1309
Practice Address - Country:US
Practice Address - Phone:914-966-1426
Practice Address - Fax:914-412-9990
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-12
Last Update Date:2013-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY233145207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02632566Medicaid
NYI-19416Medicare UPIN
NY02632566Medicaid