Healthcare Provider Details

I. General information

NPI: 1063344695
Provider Name (Legal Business Name): SPECTECH PROMOTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/29/2026
Last Update Date: 05/29/2026
Certification Date: 05/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2021 CRESCENT ST APT 3C
ASTORIA NY
11105-4315
US

IV. Provider business mailing address

2021 CRESCENT ST APT 3C
ASTORIA NY
11105-4315
US

V. Phone/Fax

Practice location:
  • Phone: 608-866-1843
  • Fax:
Mailing address:
  • Phone: 608-866-1843
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: SUMANPREET SINGH
Title or Position: CEO
Credential: MD
Phone: 608-866-1843