MEDICARE: DR. SANDEEP DHINGRA 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	2084P0800X	Psychiatry Physician	266743	NY
2	2084P0804X	Child & Adolescent Psychiatry Physician	266743	NY

General Provider Information

NPI Number	:	1972853737
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SANDEEP DHINGRA MD

Provider Business Mailing Address
First Line	:	10440 QUEENS BLVD
Second Line	:	APT 19L
City	:	FOREST HILLS
State	:	NY
Zip	:	11375-3693
Country	:	US
Telephone Number	:	646-535-1074
Fax Number	:	347-620-7811

Provider Business Practice Location Address
First Line	:	10818 QUEENS BLVD
Second Line	:	SUITE 904
City	:	FOREST HILLS
State	:	NY
Zip	:	11375-4748
Country	:	US
Telephone Number	:	646-535-1074
Fax Number	:	347-620-7811

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

Provider Enumeration Date	:	09/19/2012
Last Update Date	:	02/15/2017

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