Healthcare Provider Details

I. General information

NPI: 1881429587
Provider Name (Legal Business Name): VARINDER RATHORE MEDICINE PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/04/2024
Last Update Date: 09/04/2024
Certification Date: 09/03/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21 OLD MAIN ST STE 208
FISHKILL NY
12524-1883
US

IV. Provider business mailing address

70 MELANIE LN
HOPEWELL JUNCTION NY
12533-5566
US

V. Phone/Fax

Practice location:
  • Phone: 845-231-0321
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084A0401X
TaxonomyAddiction Medicine (Psychiatry & Neurology) Physician
License Number
License Number State

VIII. Authorized Official

Name: GURTEG SINGH
Title or Position: ASSISTANT
Credential:
Phone: 201-675-3195