# GHANSHAM SINGH,PHYSICIAN,PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1922012855
- **Authorized official:** GHANSHAM SINGH MD (PRESIDENT)
- **Authorized official phone:** (516) 603-7166

## Contact information

- **Practice address:** 13124 ROCKAWAY BLVD, SOUTH OZONE PARK, NY 11420-2932
- **Practice address phone:** (718) 659-7166
- **Mailing address:** 61 RIVERDALE RD, VALLEY STREAM, NY 11581-2413
- **Mailing address phone:** (516) 603-7166

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 214531 | NY | Yes |

## Other

- **Enumeration date:** 07/28/2006
- **Last updated:** 08/22/2020