Basic Information
Provider Information
NPI: 1366689663
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SINGH
FirstName: MANISHA
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 200 SCHERMERHORN ST
Address2: APT 720
City: BROOKLYN
State: NY
PostalCode: 112015889
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: 1650 SELWYN AVE
Address2: BRONX LEBANON HOSPITAL CENTER
City: BRONX
State: NY
PostalCode: 104577626
CountryCode: US
TelephoneNumber: 7185901800
FaxNumber:  
Other Information
ProviderEnumerationDate: 01/08/2009
LastUpdateDate: 02/15/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 02/15/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RI0200X004034NYY Allopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease

No ID Information.


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