Healthcare Provider Details

I. General information

NPI: 1134013501
Provider Name (Legal Business Name): JASMIT SINGH
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/09/2025
Last Update Date: 06/09/2025
Certification Date: 06/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

113-11 101 AVE
SOUTH RICHMOND HILL NY
11419
US

IV. Provider business mailing address

113-11 101 AVE
SOUTH RICHMOND HILL NY
11419
US

V. Phone/Fax

Practice location:
  • Phone: 929-340-4633
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code156F00000X
TaxonomyTechnician/Technologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: