Healthcare Provider Details

I. General information

NPI: 1215860036
Provider Name (Legal Business Name): MANSI SINGAL
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/03/2026
Last Update Date: 06/03/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

111 EAST 210 STREET
BRONX NY
10467
US

IV. Provider business mailing address

578, URBAN ESTATE, PHAGWARA, PUNJAB, INDIA DIST. KAPURTHALA, 144401
PHAGWARA PUNJAB
144401
IN

V. Phone/Fax

Practice location:
  • Phone: 718-920-4321
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: