Individual
DR. PRANTIK SAHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
2637 BROADWAY, NEW YORK, NY 10025-5022
(917) 921-6219
(212) 787-1606
Mailing address
PO BOX 95000-2388, PHILADELPHIA, PA 19195-2388
(212) 308-1112
(212) 308-1616
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
210091
NY
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
210091
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01883985
—
NY
Enumeration date
02/06/2006
Last updated
04/29/2021
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