Healthcare Provider Details

I. General information

NPI: 1265626816
Provider Name (Legal Business Name): JASWINDER PAL SINGH MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/28/2007
Last Update Date: 08/05/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

NASSAU UNIVERSITY MEDICAL CENTER 2201 HEMSPTEAD TURNPIKE
EAST MEADOW NY
11554
US

IV. Provider business mailing address

NASSAU UNIVERSITY MEDICAL CENTER 2201 HEMSPTEAD TURNPIKE
EAST MEADOW NY
11554
US

V. Phone/Fax

Practice location:
  • Phone: 516-572-6501
  • Fax: 516-572-6233
Mailing address:
  • Phone: 516-572-6501
  • Fax: 516-572-5609

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number60 245779
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: