Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 103G00000X | Clinical Psychologist | 016317 | NY |
N | 103TC0700X | Clinical Psychologist | 016317 | NY |
Y | 103TS0200X | School Psychologist | 016317 | NY |
NPI | 1083885693 |
---|---|
Provider Name | Dr. Anurag Singh |
First Address | Woodside, NY 11377-5805 |
Second Address | Woodside, NY 11377-5805 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/03/2008 |
Last Update Date | 22/03/2008 |