Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080A0000X | Adolescent Medicine | 186276 | NY |
NPI | 1164508289 |
---|---|
Provider Name | Daljeet Singh |
First Address | Jamaica, NY 11432-4438 |
Second Address | Jamaica, NY 11432-4438 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 31/10/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01367702 | (05) | NY |