Provider Demographics
NPI:1891830683
Name:SINHA, SHAILENDRA K (CRNA)
Entity Type:Individual
Prefix:MR
First Name:SHAILENDRA
Middle Name:K
Last Name:SINHA
Suffix:
Gender:M
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 391
Mailing Address - Street 2:
Mailing Address - City:HEWLETT
Mailing Address - State:NY
Mailing Address - Zip Code:11557-0391
Mailing Address - Country:US
Mailing Address - Phone:516-374-9256
Mailing Address - Fax:516-374-9256
Practice Address - Street 1:38 PROSPECT AVE
Practice Address - Street 2:
Practice Address - City:HEWLETT
Practice Address - State:NY
Practice Address - Zip Code:11557-1610
Practice Address - Country:US
Practice Address - Phone:516-374-9256
Practice Address - Fax:516-374-9256
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-20
Last Update Date:2007-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY3156481367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY6008132OtherGHI
NYN44850OtherHEALTH NET
03327OtherGHI PIN
NYP3699555OtherOXFORD
NYN44850OtherHEALTH NET