Provider Demographics
NPI:1619416690
Name:SINGER, BARRY (CDN)
Entity Type:Individual
Prefix:MR
First Name:BARRY
Middle Name:
Last Name:SINGER
Suffix:
Gender:M
Credentials:CDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24 PRESTON LN
Mailing Address - Street 2:
Mailing Address - City:SYOSSET
Mailing Address - State:NY
Mailing Address - Zip Code:11791-4708
Mailing Address - Country:US
Mailing Address - Phone:516-721-8254
Mailing Address - Fax:516-721-8254
Practice Address - Street 1:24 PRESTON LN
Practice Address - Street 2:
Practice Address - City:SYOSSET
Practice Address - State:NY
Practice Address - Zip Code:11791-4708
Practice Address - Country:US
Practice Address - Phone:516-721-8254
Practice Address - Fax:516-721-8254
Is Sole Proprietor?:Yes
Enumeration Date:2017-02-23
Last Update Date:2017-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY008713133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered