Individual
RESHAM DATTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
110 BEECH HILL CRES, PITTSFORD, NY 14534-4213
(516) 749-2121
Mailing address
110 BEECH HILL CRES, PITTSFORD, NY 14534-4213
(516) 749-2121
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
58003
MN
207LP2900X
Pain Medicine (Anesthesiology) Physician
ME142272
FL
208VP0014X
Interventional Pain Medicine Physician
Primary
ME142272
FL
Other
Enumeration date
05/22/2013
Last updated
10/30/2022
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