Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0122X | Plastic and Reconstructive Surgery | 245038 | NY |
NPI | 1285834333 |
---|---|
Provider Name | Jitendra V Singh |
First Address | Halfmoon, NY 12065-5646 |
Second Address | Halfmoon, NY 12065-5646 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/07/2007 |
Last Update Date | 09/10/2020 |