Individual
KALYANI BHUTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
401 COLUMBUS AVE LOWR LEVEL, VALHALLA, NY 10595-1326
(914) 909-3953
Mailing address
PO BOX 219, CROTON ON HUDSON, NY 10520-0219
(914) 909-3953
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
143798
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00771311
—
NY
Enumeration date
07/26/2005
Last updated
09/17/2019
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