Healthcare Provider Details

I. General information

NPI: 1588555429
Provider Name (Legal Business Name): ANDREA JULIE SINGER DMD
Entity Type: Individual
Gender:
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/10/2025
Last Update Date: 07/28/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22 HARRISON ST
NEW YORK NY
10013-2810
US

IV. Provider business mailing address

145 E 16TH ST APT 4A
NEW YORK NY
10003-3425
US

V. Phone/Fax

Practice location:
  • Phone: 212-245-4234
  • Fax:
Mailing address:
  • Phone: 647-448-3038
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223X0400X
TaxonomyOrthodontics and Dentofacial Orthopedics Dentistry
License Number065206
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: