Provider Demographics
NPI:1598859217
Name:SINGH, JASPREET (DO)
Entity Type:Individual
Prefix:DR
First Name:JASPREET
Middle Name:
Last Name:SINGH
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:243 NORTH RD
Mailing Address - Street 2:SUITE 304
Mailing Address - City:POUGHKEEPSIE
Mailing Address - State:NY
Mailing Address - Zip Code:12601-1172
Mailing Address - Country:US
Mailing Address - Phone:845-437-5000
Mailing Address - Fax:845-451-7757
Practice Address - Street 1:955 LITTLE BRITAIN RD
Practice Address - Street 2:
Practice Address - City:NEW WINDSOR
Practice Address - State:NY
Practice Address - Zip Code:12553-7354
Practice Address - Country:US
Practice Address - Phone:845-437-5000
Practice Address - Fax:845-452-2406
Is Sole Proprietor?:No
Enumeration Date:2006-10-03
Last Update Date:2023-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY264930208800000X
PAOS013456208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY03492808Medicaid
NY03492808Medicaid
PA1023148820001Medicaid