Individual
SUSMITA JASTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
9413 FLATBUSH AVE, BROOKLYN, NY 11236
(718) 258-3712
(718) 257-4940
Mailing address
1630 E 14TH ST, BROOKLYN, NY 11229-1104
(718) 258-3712
(718) 257-4940
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
153709
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00766069
—
NY
Enumeration date
05/26/2006
Last updated
05/16/2011
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