Organization
GANGULY ASSOCIATES MD PC
Active
Organization
GANGULY ASSOCIATES MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAKHI GANGULY M.D., (PRESIDENT)
(718) 379-1800
Entity
Organization
Contact information
Practice address
140 BENCHLEY PL FRNT 1, BRONX, NY 10475-3502
(718) 379-1800
(718) 320-0749
Mailing address
29 CHICKEN VALLEY RD, GLEN HEAD, NY 11545-2103
(516) 759-1661
(718) 320-0749
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
147280
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00738376
—
NY
01
—
1649250812
NPI
NY
Enumeration date
10/17/2014
Last updated
10/17/2014
Update your record
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