Healthcare Provider Details

I. General information

NPI: 1588235519
Provider Name (Legal Business Name): SAHIBA SINGH MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/09/2021
Last Update Date: 09/17/2026
Certification Date: 09/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

31 E MAIN ST STE 1
RIVERHEAD NY
11901-2422
US

IV. Provider business mailing address

31 E MAIN ST STE 1
RIVERHEAD NY
11901-2422
US

V. Phone/Fax

Practice location:
  • Phone: 631-722-4400
  • Fax: 631-722-4426
Mailing address:
  • Phone: 631-722-4400
  • Fax: 631-722-4426

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0300X
TaxonomyGeriatric Medicine (Internal Medicine) Physician
License Number331427-01
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: