MEDICARE: DR. VIJAY SINGH M.D.

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	2085R0202X	Diagnostic Radiology Physician	MD478668	PA
2	2085R0202X	Diagnostic Radiology Physician	262667	NY

General Provider Information

NPI Number	:	1285914770
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. VIJAY SINGH M.D.

Provider Business Mailing Address
First Line	:	59 VILLA ST
Second Line	:
City	:	ROSLYN HEIGHTS
State	:	NY
Zip	:	11577-1948
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	59 VILLA ST
Second Line	:
City	:	ROSLYN HEIGHTS
State	:	NY
Zip	:	11577-1948
Country	:	US
Telephone Number	:	917-670-1813
Fax Number	:

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

Provider Enumeration Date	:	08/28/2011
Last Update Date	:	03/16/2023

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