Individual
DR. KOUSTAV MUKHERJEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1650 SELWYN AVE, BRONX, NY 10457-7626
(718) 960-1400
Mailing address
60 W 66TH ST, #9I, NEW YORK, NY 10023-6214
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
252331
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
12/30/2008
Last updated
11/30/2009
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