Provider Demographics
NPI:1144520719
Name:SINGH, MANPREET (MD)
Entity type:Individual
Prefix:DR
First Name:MANPREET
Middle Name:
Last Name:SINGH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8414 246TH ST
Mailing Address - Street 2:
Mailing Address - City:BELLEROSE
Mailing Address - State:NY
Mailing Address - Zip Code:11426-1725
Mailing Address - Country:US
Mailing Address - Phone:516-993-8650
Mailing Address - Fax:
Practice Address - Street 1:465 SMITHTOWN BLVD
Practice Address - Street 2:
Practice Address - City:NESCONSET
Practice Address - State:NY
Practice Address - Zip Code:11767-2421
Practice Address - Country:US
Practice Address - Phone:631-676-6700
Practice Address - Fax:631-676-6708
Is Sole Proprietor?:No
Enumeration Date:2010-10-28
Last Update Date:2013-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA08850600207Q00000X
NY265892-1207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine