Individual
DILIP KUMAR SAMANTARAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
760 BROADWAY, BROOKLYN, NY 11206-5317
(718) 963-8000
Mailing address
17 SATURN CT, SYOSSET, NY 11791-6609
(516) 390-5334
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
208962
NY
Other
Enumeration date
08/02/2006
Last updated
07/08/2007
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