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Dr. Samudragupta Sanyal, MD
General Practice Physician in Franklin Square, New York
NPI 1922442359

Samudragupta Sanyal is a General Practice Physician based in Lynbrook, NY. Samudragupta Sanyal practices in Franklin Square, NY and has the professional credentials of MD. The NPI Number for Samudragupta Sanyal is 1922442359 and holds a License No. 290850 (New York).

The current practice location address for Samudragupta Sanyal is 30 Franklin Ave, Franklin Square, NY and can be reached out via phone at 516-352-0253.

Location: 30 Franklin Ave, Franklin Square, NY, 11563-2623
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1922442359
Provider Name
Samudragupta Sanyal
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
30 Franklin Ave, Franklin Square, NY, 11563-2623
Phone Number
516-352-0253
Fax Number
Provider Enumeration Date
04/29/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
30 Franklin Ave
City
Franklin Square
State
New York
Zip
11010-2527
Phone Number
516-352-0253
Fax Number
person
Provider Business Mailing Address Details
Address
30 Franklin Ave
City
Franklin Square
State
New York
Zip
11010-2527
Phone Number
516-352-0253
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
290850 (New York)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Urgent Care
Taxonomy
261QU0200X
License No.
290850 (New York)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
290850 (New York)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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