Provider Demographics
NPI:1649624594
Name:SINGHAL, AYUSHI PRIYA (DO)
Entity type:Individual
Prefix:DR
First Name:AYUSHI
Middle Name:PRIYA
Last Name:SINGHAL
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:AYUSHI
Other - Middle Name:PRIYA
Other - Last Name:SINGH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:30 E PARK DR
Mailing Address - Street 2:
Mailing Address - City:OLD BETHPAGE
Mailing Address - State:NY
Mailing Address - Zip Code:11804-1628
Mailing Address - Country:US
Mailing Address - Phone:516-724-2489
Mailing Address - Fax:
Practice Address - Street 1:1 GUSTAVE LEVY PL
Practice Address - Street 2:1234
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10029
Practice Address - Country:US
Practice Address - Phone:516-724-2489
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-04-18
Last Update Date:2022-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY3113442085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Multi-Specialty