Individual
DEBASISH ROYCHOUDHURY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5645 MAIN ST, FLUSHING, NY 11355-5045
(347) 480-1200
Mailing address
5645 MAIN ST, FLUSHING, NY 11355-5045
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
200721
NY
Other
Enumeration date
07/27/2006
Last updated
12/12/2024
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