MEDICARE: MRS. HAIMWATTIE SINGH

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
1	183500000X	Pharmacist	040516	NY

General Provider Information

NPI Number	:	1275734618
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. HAIMWATTIE SINGH

Provider Business Mailing Address
First Line	:	713 LAWRENCE STREET
Second Line	:
City	:	ELMONT
State	:	NY
Zip	:	11003
Country	:	US
Telephone Number	:	516-872-9046
Fax Number	:

Provider Business Practice Location Address
First Line	:	1621 CHURCH AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11226-2615
Country	:	US
Telephone Number	:	718-282-4600
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/31/2007
Last Update Date	:	07/08/2007

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