GHANSHAM SINGH,PHYSICIAN,PC
Osteopathic Medicine at Rockaway Blvd, Jamaica, NY

License number
New York 214531
Category
Osteopathic Medicine
Type
Internal Medicine
Owner
Name: GHANSHAM SINGH MD
Title: PRESIDENT
Phone: (516) 603-7166
Address
Address 2
13124 Rockaway Blvd, Jamaica, NY 11420
61 Riverdale Rd, Valley Stream, NY 11581
National Provider ID: 1922012855
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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GHANSHAM SINGH PHYSICIAN, PC

Jamaica, NY  -  Valley Stream, NY

Status:
Inactive
Inactive reason:
Dissolution
Registration:
Mar 28, 2002
Inactive since:
Dec 20, 2010
Addresses:
117-14 Rockaway Blvd, South Ozone Park, NY 11420 (Physical)
61 Riverdale Rd, Valley Stream, NY 11581 (Physical)
State ID:
2748743
Business type:
DOMESTIC PROFESSIONAL CORPORATION
Dr Ghansham Singh, 61 Riverdale Rd, Valley Stream, NY 11581 (Physical)

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