Healthcare Provider Details

I. General information

NPI: 1912991456
Provider Name (Legal Business Name): PRAMEET SINGH MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/09/2005
Last Update Date: 04/02/2024
Certification Date: 12/27/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1425 MADISON AVENUE L6-20
NEW YORK NY
10029
US

IV. Provider business mailing address

BOZ 28082 MOUNT SINAI HEALTH SYSTEM
NEW YORK NY
10087-1737
US

V. Phone/Fax

Practice location:
  • Phone: 917-892-9340
  • Fax:
Mailing address:
  • Phone: 917-892-9340
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0802X
TaxonomyAddiction Psychiatry Physician
License Number212820
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number212820
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: