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Individual

DR. JAYATI C BHATTACHARYYA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
1516 JARRET PL, SUITE 100, BRONX, NY 10461-2607
(718) 405-8194
(718) 405-8049
Mailing address
2600 NETHERLAND AVE, APT. 1221, BRONX, NY 10463-4801
(718) 543-2962
(718) 543-2962

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
051358
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
51358
NY
Enumeration date
10/20/2006
Last updated
07/09/2007
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