Basic Information
Provider Information
NPI: 1093084923
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SINGH
FirstName: JUHI
MiddleName: SHAH
NamePrefix: MS.
NameSuffix:  
Credential: L.AC.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 800A 5TH AVE
Address2: SUITE 205
City: NEW YORK
State: NY
PostalCode: 100657215
CountryCode: US
TelephoneNumber: 2127583200
FaxNumber: 2127545800
Practice Location
Address1: 800A 5TH AVE
Address2: SUITE 205
City: NEW YORK
State: NY
PostalCode: 100657215
CountryCode: US
TelephoneNumber: 2127583200
FaxNumber: 2127545800
Other Information
ProviderEnumerationDate: 12/21/2011
LastUpdateDate: 12/21/2011
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
171100000X002867NYY Other Service ProvidersAcupuncturist 

No ID Information.


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