Provider Demographics
NPI:1801951280
Name:SINGH, AMARJIT (MD)
Entity type:Individual
Prefix:DR
First Name:AMARJIT
Middle Name:
Last Name:SINGH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9426 LEFFERTS BLVD
Mailing Address - Street 2:
Mailing Address - City:SOUTH RICHMOND HILL
Mailing Address - State:NY
Mailing Address - Zip Code:11419-1222
Mailing Address - Country:US
Mailing Address - Phone:718-849-0906
Mailing Address - Fax:718-849-2019
Practice Address - Street 1:9426 LEFFERTS BLVD
Practice Address - Street 2:
Practice Address - City:SOUTH RICHMOND HILL
Practice Address - State:NY
Practice Address - Zip Code:11419-1222
Practice Address - Country:US
Practice Address - Phone:718-849-0906
Practice Address - Fax:718-849-2019
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-26
Last Update Date:2011-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY190854207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01452551Medicaid
NYF46348Medicare UPIN
NY92405IMedicare ID - Type Unspecified