Organization
GHANSHAM SINGH,PHYSICIAN,PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GHANSHAM SINGH MD (PRESIDENT)
(516) 603-7166
Entity
Organization
Contact information
Practice address
13124 ROCKAWAY BLVD, SOUTH OZONE PARK, NY 11420-2932
(718) 659-7166
Mailing address
61 RIVERDALE RD, VALLEY STREAM, NY 11581-2413
(516) 603-7166
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
214531
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02020991
—
NY
Enumeration date
07/28/2006
Last updated
08/22/2020
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