Healthcare Provider Details

I. General information

NPI: 1235422734
Provider Name (Legal Business Name): MANSHER SINGH MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/17/2011
Last Update Date: 09/17/2026
Certification Date: 09/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1035 PARK AVE STE E
NEW YORK NY
10028-0912
US

IV. Provider business mailing address

1035 PARK AVE STE E
NEW YORK NY
10028-0912
US

V. Phone/Fax

Practice location:
  • Phone: 212-470-4020
  • Fax: 646-585-5077
Mailing address:
  • Phone: 212-470-4020
  • Fax: 646-585-5077

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberD0086194
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberD0086194
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: