Individual
BHASKAR BHATTACHARYYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1404 PORTLAND AVENUE, ROCHESTER, NY 14621-3016
(585) 266-1940
(585) 266-2223
Mailing address
908 NIAGARA FALLS BLVD, STE 208, N TONAWANDA, NY 14120
(716) 692-2160
(716) 213-0348
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
005831
NY
213ES0131X
Foot Surgery Podiatrist
N005831-3
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02360167
—
NY
Enumeration date
08/10/2005
Last updated
02/05/2008
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