# SANJAY PRATAP JOBANPUTRA, MD, P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114366408
- **Authorized official:** SANJAY P JOBANPUTRA MD (PRESIDENT)
- **Authorized official phone:** (516) 478-4540

## Contact information

- **Practice address:** 1075 FRANKLIN AVE, GARDEN CITY, NY 11530-2930
- **Practice address phone:** (516) 478-4540
- **Practice address fax:** (516) 248-5031
- **Mailing address:** 1075 FRANKLIN AVE, GARDEN CITY, NY 11530-2930
- **Mailing address phone:** (516) 478-4540
- **Mailing address fax:** (516) 248-5031

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208C00000X | Colon & Rectal Surgery Physician | 236233 | NY | Yes |

## Other

- **Enumeration date:** 06/19/2013
- **Last updated:** 06/19/2013