Provider Demographics
NPI:1811988850
Name:SINGER, MITCHELL S (MD)
Entity type:Individual
Prefix:DR
First Name:MITCHELL
Middle Name:S
Last Name:SINGER
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 1:1210 UNION ST
Mailing Address - Street 2:
Mailing Address - City:SCHENECTADY
Mailing Address - State:NY
Mailing Address - Zip Code:12308-2904
Mailing Address - Country:US
Mailing Address - Phone:518-374-4400
Mailing Address - Fax:518-374-4423
Practice Address - Street 1:1210 UNION ST
Practice Address - Street 2:
Practice Address - City:SCHENECTADY
Practice Address - State:NY
Practice Address - Zip Code:12308-2904
Practice Address - Country:US
Practice Address - Phone:518-374-4400
Practice Address - Fax:518-374-4423
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-31
Last Update Date:2010-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY150992207NS0135X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207NS0135XAllopathic & Osteopathic PhysiciansDermatologyProcedural Dermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY07107OtherMVP HEALTH PLAN PROVIDER
NY10001906OtherCDPHP PROVIDER NO.
NY141667244OtherTAX ID NO.
NY070001277OtherRR MEDICARE NO.
NY78E53OtherEMP BC NUMBER
NY39903BMedicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER
NYD02269Medicare UPIN