Provider Demographics
NPI:1467662916
Name:SINGH, BILLY (LAC)
Entity Type:Individual
Prefix:
First Name:BILLY
Middle Name:
Last Name:SINGH
Suffix:
Gender:M
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:414 JERICHO TPKE
Mailing Address - Street 2:2ND FLOOR/SUITE #1
Mailing Address - City:NEW HYDE PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11040-4510
Mailing Address - Country:US
Mailing Address - Phone:516-557-6112
Mailing Address - Fax:
Practice Address - Street 1:414 JERICHO TPKE
Practice Address - Street 2:2ND FLOOR/SUITE #1
Practice Address - City:NEW HYDE PARK
Practice Address - State:NY
Practice Address - Zip Code:11040-4510
Practice Address - Country:US
Practice Address - Phone:516-557-6112
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-23
Last Update Date:2018-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY003411171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist