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Individual

PAYEL GHOSH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DPM

Contact information

Practice address
2365 BOSTON POST RD, STE 200, LARCHMONT, NY 10538
(914) 834-0111
(914) 834-0259
Mailing address
2365 BOSTON POST RD, STE 200, LARCHMONT, NY 10538
(914) 834-0111
(914) 834-0259

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
006865
NY
213ES0103X
Foot & Ankle Surgery Podiatrist
SC0065444
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
04842059
NY
Enumeration date
06/28/2014
Last updated
01/08/2019
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