Provider Demographics
NPI:1972736874
Name:SINGH, PURNIMA (DPT)
Entity type:Individual
Prefix:DR
First Name:PURNIMA
Middle Name:
Last Name:SINGH
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30 CONTINENTAL DR
Mailing Address - Street 2:
Mailing Address - City:WEST NYACK
Mailing Address - State:NY
Mailing Address - Zip Code:10994-2818
Mailing Address - Country:US
Mailing Address - Phone:914-475-6400
Mailing Address - Fax:
Practice Address - Street 1:30 CONTINENTAL DR
Practice Address - Street 2:
Practice Address - City:WEST NYACK
Practice Address - State:NY
Practice Address - Zip Code:10994-2818
Practice Address - Country:US
Practice Address - Phone:914-475-6400
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-26
Last Update Date:2020-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY031352-1225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYA300037368OtherMEDICARE