Provider Demographics
NPI:1528166642
Name:MANANSINGH, NISHA (PA-C)
Entity type:Individual
Prefix:MRS
First Name:NISHA
Middle Name:
Last Name:MANANSINGH
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:MS
Other - First Name:NISHA
Other - Middle Name:
Other - Last Name:VACHANI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PA-C
Mailing Address - Street 1:160 BENEFIELD BLVD
Mailing Address - Street 2:
Mailing Address - City:PEEKSKILL
Mailing Address - State:NY
Mailing Address - Zip Code:10566-6813
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:160 BENEFIELD BLVD
Practice Address - Street 2:
Practice Address - City:PEEKSKILL
Practice Address - State:NY
Practice Address - Zip Code:10566-6813
Practice Address - Country:US
Practice Address - Phone:914-734-2343
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2010-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MP00038000363AS0400X
NY006963-1363AS0400X
CT002007363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical