Healthcare Provider Details

I. General information

NPI: 1538570668
Provider Name (Legal Business Name): TARYN SINGER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/12/2014
Last Update Date: 09/22/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

728 NORTH MAIN STREET
SPRING VALLEY NY
10977
US

IV. Provider business mailing address

728 NORTH MAIN STREET
SPRING VALLEY NY
10977
US

V. Phone/Fax

Practice location:
  • Phone: 845-354-9300
  • Fax:
Mailing address:
  • Phone: 646-285-4692
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberF338116-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: