Provider Demographics
NPI:1801854997
Name:SINGER, MARK C (MD)
Entity Type:Individual
Prefix:
First Name:MARK
Middle Name:C
Last Name:SINGER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Middle Name:
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Other - Last Name Type:
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Mailing Address - Street 1:55 E 87TH ST
Mailing Address - Street 2:2M
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10128-1043
Mailing Address - Country:US
Mailing Address - Phone:212-831-9551
Mailing Address - Fax:
Practice Address - Street 1:55 E 87TH ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10128-1043
Practice Address - Country:US
Practice Address - Phone:212-831-9551
Practice Address - Fax:212-831-9551
Is Sole Proprietor?:No
Enumeration Date:2006-05-01
Last Update Date:2015-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2035552084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01665374Medicaid
NYF82738Medicare UPIN
NY44M631Medicare PIN