Provider Demographics
NPI:1790892289
Name:SINGER, STANFORD MARTIN (PHD)
Entity Type:Individual
Prefix:DR
First Name:STANFORD
Middle Name:MARTIN
Last Name:SINGER
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 W 85TH ST
Mailing Address - Street 2:SUITE 1A
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10024-4111
Mailing Address - Country:US
Mailing Address - Phone:212-595-9349
Mailing Address - Fax:212-874-5138
Practice Address - Street 1:1 W 85TH ST
Practice Address - Street 2:SUITE 1A
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10024-4111
Practice Address - Country:US
Practice Address - Phone:212-595-9349
Practice Address - Fax:212-874-5138
Is Sole Proprietor?:No
Enumeration Date:2006-08-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY012433103G00000X, 103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered103G00000XBehavioral Health & Social Service ProvidersClinical Neuropsychologist
Not Answered103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01681305Medicaid
NY01681305Medicaid
R97614Medicare UPIN