Provider Demographics
NPI:1548236854
Name:SINGH, KULJIT (MD)
Entity Type:Individual
Prefix:DR
First Name:KULJIT
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 1:12 DEFOREST COURT
Mailing Address - Street 2:
Mailing Address - City:WEST NYACK
Mailing Address - State:NY
Mailing Address - Zip Code:10994-1327
Mailing Address - Country:US
Mailing Address - Phone:845-358-7810
Mailing Address - Fax:845-358-7810
Practice Address - Street 1:12 DEFOREST COURT
Practice Address - Street 2:
Practice Address - City:WEST NYACK
Practice Address - State:NY
Practice Address - Zip Code:10994-1327
Practice Address - Country:US
Practice Address - Phone:845-358-7810
Practice Address - Fax:845-358-7810
Is Sole Proprietor?:No
Enumeration Date:2006-02-27
Last Update Date:2008-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1591892084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY38F061Medicare ID - Type Unspecified
E87360Medicare UPIN