Healthcare Provider Details

I. General information

NPI: 1396437836
Provider Name (Legal Business Name): HARDEEP SINGH MS, DO
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/23/2023
Last Update Date: 07/20/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

131 MINEOLA BLVD
MINEOLA NY
11501-3976
US

IV. Provider business mailing address

9138 113TH ST
RICHMOND HILL NY
11418-3026
US

V. Phone/Fax

Practice location:
  • Phone: 516-663-4470
  • Fax:
Mailing address:
  • Phone: 347-285-7799
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number344845
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: