Individual
CHANDERDEEP SINGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2209 GENESEE ST, UTICA, NY 13501-5999
(315) 801-8567
(315) 801-8568
Mailing address
2209 GENESEE ST, UTICA, NY 13501-5999
(315) 801-8350
(315) 801-8391
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
225034-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02285069
—
NY
01
—
P00174003
RR MEDICARE
NY
Enumeration date
08/09/2005
Last updated
01/31/2023
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