Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RX0202X | Medical Oncology | 292691 | NY |
NPI | 1003164427 |
---|---|
Provider Name | Sarbajit Mukherjee |
First Address | Oklahoma City, OK 73104-5418 |
Second Address | Buffalo, NY 14263-5418 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 15/08/2012 |
Last Update Date | 26/01/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
292691 | NY LICENSE (01) | NY |