Individual
DR. SUJIT CHAKRABARTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
145 GRAND AVE, STATEN ISLAND, NY 10301-4058
(718) 720-9670
Mailing address
145 GRAND AVE, STATEN ISLAND, NY 10301-4058
(718) 720-9670
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
111181
NY
208600000X
Surgery Physician
C52332
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00199293
—
NY
Enumeration date
11/13/2006
Last updated
07/08/2007
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