Individual
DR. DEEPAK PENESETTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
225 CHERRY ST APT 18E, NEW YORK, NY 10002-8186
(917) 509-6994
Mailing address
225 CHERRY ST APT 18E, NEW YORK, NY 10002-8186
(917) 509-6994
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
309132
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/14/2011
Last updated
01/10/2023
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