Provider Demographics
NPI:1992474290
Name:GOPAULSINGH, ANEKA AMALA
Entity type:Individual
Prefix:
First Name:ANEKA
Middle Name:AMALA
Last Name:GOPAULSINGH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18725 QUENCER RD
Mailing Address - Street 2:
Mailing Address - City:SAINT ALBANS
Mailing Address - State:NY
Mailing Address - Zip Code:11412-2636
Mailing Address - Country:US
Mailing Address - Phone:347-856-1595
Mailing Address - Fax:
Practice Address - Street 1:18725 QUENCER RD
Practice Address - Street 2:
Practice Address - City:SAINT ALBANS
Practice Address - State:NY
Practice Address - Zip Code:11412-2636
Practice Address - Country:US
Practice Address - Phone:347-856-1595
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-09
Last Update Date:2021-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist