Healthcare Provider Details

I. General information

NPI: 1366658817
Provider Name (Legal Business Name): AMRINDER H SINGH DMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/14/2007
Last Update Date: 03/27/2023
Certification Date: 03/17/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

133 MORNINGSIDE AVENUE
NEW YORK NY
10027
US

IV. Provider business mailing address

33 FOREST BLVD
ARDSLEY NY
10502-1034
US

V. Phone/Fax

Practice location:
  • Phone: 212-923-2525
  • Fax:
Mailing address:
  • Phone: 917-912-6661
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License NumberD11756
License Number StateOR
# 2
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number048029-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: