Provider Demographics
NPI:1063584811
Name:SINHA, RITA (MD)
Entity type:Individual
Prefix:
First Name:RITA
Middle Name:
Last Name:SINHA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:RITA
Other - Middle Name:
Other - Last Name:SRIVASTAVA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 324
Mailing Address - Street 2:
Mailing Address - City:HEWLETT
Mailing Address - State:NY
Mailing Address - Zip Code:11557-0324
Mailing Address - Country:US
Mailing Address - Phone:718-639-7876
Mailing Address - Fax:718-639-7876
Practice Address - Street 1:VA NEW YORK HARBOR HEALTHCARE SYSTEM
Practice Address - Street 2:800 POLY PLACE
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11209-7104
Practice Address - Country:US
Practice Address - Phone:718-836-6600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-15
Last Update Date:2019-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY232579207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY053SR1Medicare PIN
NYI21679Medicare UPIN