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Organization

ISLAND CARDIOVASCULAR ASSOCIATES OF NY PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JYOTI PRAKASH GANGULY M.D. (PRESIDENT/PHYSICIAN)
(631) 979-8880
Entity
Organization

Contact information

Practice address
496 SMITHTOWN BYP, SUITE 101, SMITHTOWN, NY 11787-5005
(631) 979-8880
(631) 979-8064
Mailing address
496 SMITHTOWN BYP, SUITE 101, SMITHTOWN, NY 11787-5005
(631) 979-8880
(631) 979-8064

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary

Other

Enumeration date
07/28/2006
Last updated
05/12/2014
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