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General NPI Number Information
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NPI Number | 1376957613
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Entity Type | Individual
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Provider Name | LISA F MOHAMED SINGH FNP
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Gender | Female
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Dates
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Enumeration Date | 06/15/2014
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Last Update Date | 10/07/2025
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Provider Practice Location Address
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Address Line | 18730 HILLSIDE AVE
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City | JAMAICA
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State | NY
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Zip | 11432-3216
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Country | US
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Telephone | 718-264-1111
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Fax | 718-264-9125
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Provider Business Mailing Address
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Address Line | 9039 212TH PL
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City | QUEENS VILLAGE
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State | NY
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Zip | 11428-1141
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Country | US
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Telephone | 952-221-6351
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 173215-7
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License Number State | MN
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | F349559-01
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License Number State | NY
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