Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0210X | Pediatric Nephrologist | 198676 | NY |
NPI | 1245225242 |
---|---|
Provider Name | Anup Singh |
First Address | Staten Island, NY 10310-2512 |
Second Address | Staten Island, NY 10310-2512 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/09/2005 |
Last Update Date | 18/08/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01550669 | (05) | NY |
G00512 | (02) | NY |