Basic Information
Provider Information
NPI: 1225354103
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SINGH
FirstName: JASMEET
MiddleName: CHADHA
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 650 COMMACK RD
Address2:  
City: COMMACK
State: NY
PostalCode: 117255404
CountryCode: US
TelephoneNumber: 6316234100
FaxNumber:  
Practice Location
Address1: 650 COMMACK RD
Address2:  
City: COMMACK
State: NY
PostalCode: 117255404
CountryCode: US
TelephoneNumber: 6316234100
FaxNumber:  
Other Information
ProviderEnumerationDate: 04/16/2010
LastUpdateDate: 10/15/2014
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RH0003X257798NYY Allopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology

No ID Information.


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