Individual
DR. DAHLIA BANERJI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
111 MALTESE DR, MIDDLETOWN, NY 10940-2115
(845) 342-4774
Mailing address
123 SUMMER ST, WORCESTER, MA 01608-1216
(508) 363-6177
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
248454
MA
207RC0000X
Cardiovascular Disease Physician
Primary
302416
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
302416
NYS LICENSE
NY
Enumeration date
07/06/2011
Last updated
03/11/2020
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