Provider Demographics
NPI:1689811317
Name:SINGER, ROGER GUY (DC)
Entity Type:Individual
Prefix:DR
First Name:ROGER
Middle Name:GUY
Last Name:SINGER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:353 SARATOGA ROAD
Mailing Address - Street 2:
Mailing Address - City:SCOTIA
Mailing Address - State:NY
Mailing Address - Zip Code:12302
Mailing Address - Country:US
Mailing Address - Phone:518-399-3810
Mailing Address - Fax:518-399-9808
Practice Address - Street 1:353 SARATOGA ROAD
Practice Address - Street 2:
Practice Address - City:SCOTIA
Practice Address - State:NY
Practice Address - Zip Code:12302
Practice Address - Country:US
Practice Address - Phone:518-399-3810
Practice Address - Fax:518-399-9808
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-16
Last Update Date:2009-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MECR1754111N00000X
NYX004098-1111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYC04098-2BOtherNEW YORK STATE WORKER COMPENSATION ID NUMBER