Healthcare Provider Details

I. General information

NPI: 1124922844
Provider Name (Legal Business Name): SYNERGY HEALTH MEDICAL PROFESSIONAL PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/06/2026
Last Update Date: 10/06/2026
Certification Date: 10/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

418 BROADWAY STE R
ALBANY NY
12207-2922
US

IV. Provider business mailing address

4901 VINELAND RD STE 350
ORLANDO FL
32811-7192
US

V. Phone/Fax

Practice location:
  • Phone: 407-469-5090
  • Fax: 407-588-4885
Mailing address:
  • Phone: 407-469-5090
  • Fax: 407-588-4885

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number StateNULL

VIII. Authorized Official

Name: ANISHA SINGH
Title or Position: OWNER
Credential: MD
Phone: 407-469-5090