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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
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