Individual
DR. SUDARSHANA ROYCHOUDHURY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1275 YORK AVE, NEW YORK, NY 10065-6007
(347) 218-0198
Mailing address
1233 YORK AVE APT 8L, NEW YORK, NY 10065-6342
(347) 218-0198
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
291771
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1477946408
NORTH SHORE LIJ HEALTH SYSTEM
NY
Enumeration date
04/25/2019
Last updated
04/25/2019
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