MEDICARE: DR. TARUNJIT SINGH MD

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	207RC0000X	Cardiovascular Disease Physician	266794	NY
2	207RI0011X	Interventional Cardiology Physician	266794	NY

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	A400080779	OTHER	NY	MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	1770720211	OTHER		NPI

General Provider Information

NPI Number	:	1770720211
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. TARUNJIT SINGH MD

Provider Business Mailing Address
First Line	:	30 GARDNER AVE
Second Line	:
City	:	HICKSVILLE
State	:	NY
Zip	:	11801-2547
Country	:	US
Telephone Number	:	914-356-7377
Fax Number	:

Provider Business Practice Location Address
First Line	:	13112 LIBERTY AVE
Second Line	:
City	:	SOUTH RICHMOND HILL
State	:	NY
Zip	:	11419-3124
Country	:	US
Telephone Number	:	718-843-1020
Fax Number	:	718-843-0370

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

Provider Enumeration Date	:	01/20/2009
Last Update Date	:	11/04/2022

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