Provider Demographics
NPI:1710139555
Name:SINGH, PUNEET (DO)
Entity Type:Individual
Prefix:DR
First Name:PUNEET
Middle Name:
Last Name:SINGH
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1991 MARCUS AVENUE
Mailing Address - Street 2:SUITE 108
Mailing Address - City:LAKE SUCCESS
Mailing Address - State:NY
Mailing Address - Zip Code:11042
Mailing Address - Country:US
Mailing Address - Phone:516-442-2250
Mailing Address - Fax:516-442-2251
Practice Address - Street 1:1991 MARCUS AVENUE
Practice Address - Street 2:SUITE 108
Practice Address - City:LAKE SUCCESS
Practice Address - State:NY
Practice Address - Zip Code:11042
Practice Address - Country:US
Practice Address - Phone:516-442-2250
Practice Address - Fax:516-442-2251
Is Sole Proprietor?:No
Enumeration Date:2008-10-10
Last Update Date:2012-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS0157222084N0400X
NY2444262084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology