Provider Demographics
NPI:1508104142
Name:SINH, VIJAYETA (PHD)
Entity Type:Individual
Prefix:DR
First Name:VIJAYETA
Middle Name:
Last Name:SINH
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:603 W 115TH ST STE 170
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10025-7722
Mailing Address - Country:US
Mailing Address - Phone:212-652-2216
Mailing Address - Fax:
Practice Address - Street 1:19 W 34TH STREET
Practice Address - Street 2:PENTHOUSE SUITE
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10001
Practice Address - Country:US
Practice Address - Phone:212-652-2216
Practice Address - Fax:212-652-2216
Is Sole Proprietor?:No
Enumeration Date:2013-01-16
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY019952103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical