Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223G0001X | General Practice | 22DI02743300 | NJ |
Y | 213EG0000X | General Practice | 22DI02743300 | NJ |
NPI | 1992478127 |
---|---|
Provider Name | Dr. Pamela Singh |
First Address | Bellerose, NY 11426-1203 |
Second Address | Montclair, NJ 07042-4049 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/07/2021 |
Last Update Date | 25/07/2021 |