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Individual

DIPAK NANDI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
4142 ELBERTSON ST, 102, ELMHURST, NY 11373-1620
(718) 505-1300
(718) 505-1883
Mailing address
4142 ELBERTSON ST, 102, ELMHURST, NY 11373-1620
(718) 505-1300
(718) 505-1883

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
A161926
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
A161926
LICENSE NUMBER
NY
Enumeration date
01/23/2013
Last updated
01/23/2013
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