Individual
CHANELLE DIMITRA SENGUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 GUSTAVE L LEVY PL, NEW YORK, NY 10029-6504
(212) 659-6800
Mailing address
110 FRANCIS ST STE 2A, BOSTON, MA 02215-5501
(617) 632-8383
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
020700
NY
Other
Enumeration date
03/13/2017
Last updated
08/21/2023
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