Provider Demographics
NPI:1083749477
Name:DAS, PIALI MUKHERJEE (MD)
Entity Type:Individual
Prefix:DR
First Name:PIALI
Middle Name:MUKHERJEE
Last Name:DAS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:107 W 89TH ST
Mailing Address - Street 2:APT PHB
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10024-1958
Mailing Address - Country:US
Mailing Address - Phone:212-496-7192
Mailing Address - Fax:212-496-1685
Practice Address - Street 1:400 E 30TH ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-8310
Practice Address - Country:US
Practice Address - Phone:212-481-4471
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1989932084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry