Provider Demographics
NPI:1619014784
Name:SINGH, SANDHYA D (NP)
Entity Type:Individual
Prefix:
First Name:SANDHYA
Middle Name:D
Last Name:SINGH
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:461 DEAN ST APT 24D
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11217-4157
Mailing Address - Country:US
Mailing Address - Phone:917-535-7637
Mailing Address - Fax:
Practice Address - Street 1:14 WALL ST FL 20
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10005-2123
Practice Address - Country:US
Practice Address - Phone:212-461-2270
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-30
Last Update Date:2019-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF400759363LP0808X
NYF303621363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02387162Medicaid
NY0123G1Medicare ID - Type Unspecified
NY02387162Medicaid