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NPI Code Detail

MEDICARE: MS. STEPHANIE LYNN SINGH PT

MEDICARE:  MS. STEPHANIE LYNN SINGH  PT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12251P0200XPediatric Physical Therapist019645NY

General Provider Information

NPI Number : 1114207396
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. STEPHANIE LYNN SINGH PT
Provider Business Mailing Address
First Line : 5205 OAKWOOD DR
Second Line :
City : NORTH TONAWANDA
State : NY
Zip : 14120-9618
Country : US
Telephone Number : 716-759-1604
Fax Number :
Provider Business Practice Location Address
First Line : 5205 OAKWOOD DR
Second Line :
City : NORTH TONAWANDA
State : NY
Zip : 14120-9618
Country : US
Telephone Number : 716-759-1604
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/19/2011
Last Update Date : 10/02/2019

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