Provider Demographics
NPI:1740505221
Name:SINGH-KOHLI, RAMONA G
Entity type:Individual
Prefix:
First Name:RAMONA
Middle Name:G
Last Name:SINGH-KOHLI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11201 QUEENS BLVD
Mailing Address - Street 2:APT 7B
Mailing Address - City:FOREST HILLS
Mailing Address - State:NY
Mailing Address - Zip Code:11375-5566
Mailing Address - Country:US
Mailing Address - Phone:917-622-7152
Mailing Address - Fax:
Practice Address - Street 1:11201 QUEENS BLVD
Practice Address - Street 2:APT 7B
Practice Address - City:FOREST HILLS
Practice Address - State:NY
Practice Address - Zip Code:11375-5566
Practice Address - Country:US
Practice Address - Phone:917-622-7152
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-03-29
Last Update Date:2010-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY046637183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist