Healthcare Provider Details

I. General information

NPI: 1053247098
Provider Name (Legal Business Name): SENTINEL MEDICAL GROUP LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/18/2026
Last Update Date: 09/03/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 CHURCH STREET TRIBECA 8TH FLOOR
NEW YORK NY
10007-2614
US

IV. Provider business mailing address

100 CHURCH STREET TRIBECA 8TH FLOOR
NEW YORK NY
10007-2614
US

V. Phone/Fax

Practice location:
  • Phone: 917-231-4229
  • Fax:
Mailing address:
  • Phone: 917-231-4229
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: DALJIT SINGH
Title or Position: MANAGER
Credential:
Phone: 917-231-4229