Individual
DR. SUSHANTA KUMAR MUKHERJEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6750 4TH AVE, BROOKLYN, NY 11220-5350
(718) 836-8787
Mailing address
15 WALDO PL, STATEN ISLAND, NY 10314-5412
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
130065
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
238688
—
NY
Enumeration date
02/15/2007
Last updated
07/08/2007
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