Individual
DHRITY DIPA BHOWMIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5645 MAIN ST, FLUSHING, NY 11355-5045
(718) 670-2000
Mailing address
5645 MAIN ST, FLUSHING, NY 11355-5045
(718) 670-2000
Taxonomy
Speciality
Code
Description
License number
State
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
310928
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
310928
NYS LICENSE
NY
Enumeration date
05/31/2018
Last updated
12/22/2023
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