Provider Demographics
NPI:1629482625
Name:SINGER, LEIA
Entity Type:Individual
Prefix:
First Name:LEIA
Middle Name:
Last Name:SINGER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1720 WHITESTONE EXPY STE 303
Mailing Address - Street 2:
Mailing Address - City:WHITESTONE
Mailing Address - State:NY
Mailing Address - Zip Code:11357-3000
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1720 WHITESTONE EXPY STE 303
Practice Address - Street 2:
Practice Address - City:WHITESTONE
Practice Address - State:NY
Practice Address - Zip Code:11357-3000
Practice Address - Country:US
Practice Address - Phone:718-428-3600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-06-17
Last Update Date:2018-03-09
Deactivation Date:2018-02-19
Deactivation Code:
Reactivation Date:2018-03-09
Provider Licenses
StateLicense IDTaxonomies
NY635429163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse