Provider Demographics
NPI:1316277429
Name:SINGER, ANDRE J (DDS)
Entity type:Individual
Prefix:DR
First Name:ANDRE
Middle Name:J
Last Name:SINGER
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:270 W 17TH ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10011-5353
Mailing Address - Country:US
Mailing Address - Phone:212-691-4812
Mailing Address - Fax:212-627-5496
Practice Address - Street 1:270 W 17TH ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10011-5353
Practice Address - Country:US
Practice Address - Phone:212-691-4812
Practice Address - Fax:212-627-5496
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-12
Last Update Date:2015-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY035745122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist