Provider Demographics
NPI:1558505123
Name:SINHA, VIJAYA L (DDS)
Entity Type:Individual
Prefix:DR
First Name:VIJAYA
Middle Name:L
Last Name:SINHA
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:340 E 23RD ST
Mailing Address - Street 2:APT 5E
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10010-4744
Mailing Address - Country:US
Mailing Address - Phone:646-234-2423
Mailing Address - Fax:646-602-1558
Practice Address - Street 1:340 E 23RD ST
Practice Address - Street 2:APT 5E
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10010-4744
Practice Address - Country:US
Practice Address - Phone:646-234-2423
Practice Address - Fax:646-602-1558
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-27
Last Update Date:2009-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0444261223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice