Provider Demographics
NPI:1073406377
Name:SINGLETARY, CHASTITY MONIQUE
Entity type:Individual
Prefix:
First Name:CHASTITY
Middle Name:MONIQUE
Last Name:SINGLETARY
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 1:593 W BROAD ST STE 40
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14608-1509
Mailing Address - Country:US
Mailing Address - Phone:585-285-8729
Mailing Address - Fax:585-523-1335
Practice Address - Street 1:4050 W RIDGE RD
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14626-3528
Practice Address - Country:US
Practice Address - Phone:585-285-8729
Practice Address - Fax:585-523-1335
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-03
Last Update Date:2025-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory
No171400000XOther Service ProvidersHealth & Wellness Coach
No246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomy