Individual
PARTHA CHATTERJEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8906 135TH ST, SUITE 5S, JAMAICA, NY 11418-2828
(718) 206-6742
Mailing address
80 MARCUS DR, PROVIDER ENROLLMENT, MELVILLE, NY 11747-4230
(631) 391-7889
(631) 454-4163
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
233706
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02588085
—
NY
Enumeration date
11/20/2006
Last updated
09/08/2010
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