Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | 161424 | NY |
Y | 111NI0900X | Internist | 161424 | NY |
N | 207RA0401X | Internist - Addiction Medicine | 161424 | NY |
NPI | 1972586790 |
---|---|
Provider Name | Pinaki Sengupta |
First Address | Congers, NY 10920-1413 |
Second Address | Congers, NY 10920-1413 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 25/11/2005 |
Last Update Date | 11/05/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00968474 | (05) | NY |
G61427 | (02) |