Individual
JAYANTA NARAYAN ROYCHOWDHURY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BA
Contact information
Practice address
3747 76 TH ST, JACKSONHEIGHTS, NY 11372-6533
(347) 421-9090
Mailing address
3747 76TH ST, JACKSON HEIGHTS, NY 11372-6533
(347) 421-9090
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
RK 35008H 600486 235
—
NY
Enumeration date
01/30/2014
Last updated
01/30/2014
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