Individual
DR. DEBANIK CHAUDHURI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
90 PRESIDENTIAL PLAZA, DEPARTMENT OF MEDICINE MEDICAL SERVICE GROUP, SYRACUSE, NY 13202
(315) 464-3222
(315) 464-3235
Mailing address
251 SALINA MEADOWS PKWY STE 100, SYRACUSE, NY 13212-4516
(315) 464-2014
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
279621
NY
207RC0000X
Cardiovascular Disease Physician
Primary
279621
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04181462
—
NY
Enumeration date
07/10/2008
Last updated
10/05/2020
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