Individual
MR. KAUTILYA SHAURYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., M.B.A
Contact information
Practice address
217 HAVEMEYER ST FL 5, BROOKLYN, NY 11211
(212) 283-3000
Mailing address
2701 QUEENS PLZ N FL 10, LONG ISLAND CITY, NY 11101-4022
(305) 585-1111
(305) 585-8137
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
294708
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/08/2014
Last updated
09/25/2018
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