MEDICARE: DR. DALE 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	103TC0700X	Clinical Psychologist	35SI00711100	NJ
2	103TC0700X	Clinical Psychologist	P08686	NY
3	103TC0700X	Clinical Psychologist	023960	NY

General Provider Information

NPI Number	:	1295248102
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DALE SINGH

Provider Business Mailing Address
First Line	:	9033 ELDERT LN
Second Line	:
City	:	WOODHAVEN
State	:	NY
Zip	:	11421-2844
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	110 ARLINGTON AVE APT 8
Second Line	:
City	:	JERSEY CITY
State	:	NJ
Zip	:	07305-4359
Country	:	US
Telephone Number	:	347-510-1470
Fax Number	:

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

Provider Enumeration Date	:	11/14/2017
Last Update Date	:	02/05/2026

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