Provider Demographics
NPI:1740692086
Name:SINGH, HARLEEN
Entity type:Individual
Prefix:MS
First Name:HARLEEN
Middle Name:
Last Name:SINGH
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 1:114 SPRUCELANDS AVE
Mailing Address - Street 2:
Mailing Address - City:BRAMPTON
Mailing Address - State:ON
Mailing Address - Zip Code:L6R 1N2
Mailing Address - Country:CA
Mailing Address - Phone:647-532-2323
Mailing Address - Fax:
Practice Address - Street 1:462 GRIDER ST
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14215
Practice Address - Country:US
Practice Address - Phone:716-898-3897
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-05-21
Last Update Date:2018-08-24
Deactivation Date:2014-12-23
Deactivation Code:
Reactivation Date:2015-06-04
Provider Licenses
StateLicense IDTaxonomies
NY294118207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine