Individual
DR. SAMUDRAGUPTA SANYAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
30 FRANKLIN AVE, FRANKLIN SQUARE, NY 11010-2527
(516) 352-0253
Mailing address
232 MERRICK RD, LYNBROOK, NY 11563-2623
(516) 594-5961
(516) 256-5556
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
290850
NY
261QU0200X
Urgent Care Clinic/Center
290850
NY
390200000X
Student in an Organized Health Care Education/Training Program
290850
NY
Other
Enumeration date
04/29/2013
Last updated
03/17/2018
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