Provider Demographics
NPI:1326247628
Name:BHATTACHARYA, BHASWATI (MA, MPH, MD)
Entity Type:Individual
Prefix:DR
First Name:BHASWATI
Middle Name:
Last Name:BHATTACHARYA
Suffix:
Gender:F
Credentials:MA, MPH, MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:172 5TH AVE STE 38
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10010-5903
Mailing Address - Country:US
Mailing Address - Phone:212-645-6745
Mailing Address - Fax:
Practice Address - Street 1:95 LEXINGTON AVE
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-8944
Practice Address - Country:US
Practice Address - Phone:212-691-7223
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-16
Last Update Date:2007-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY223388207Q00000X, 207VG0400X, 2083P0901X, 208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
No2083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive Medicine