Individual
DR. SUTAPA MAITI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
228 LINDEN LN, GLEN HEAD, NY 11545-2714
(818) 599-2469
Mailing address
228 LINDEN LN, GLEN HEAD, NY 11545-2714
(818) 599-2469
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Enumeration date
05/09/2014
Last updated
05/09/2014
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