Provider Demographics
NPI:1346318342
Name:BHATTACHARYA, SARMISTHA (MD)
Entity Type:Individual
Prefix:DR
First Name:SARMISTHA
Middle Name:
Last Name:BHATTACHARYA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:55 WATER ST
Mailing Address - Street 2:CREDENTIALING 2ND FL
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10041-0004
Mailing Address - Country:US
Mailing Address - Phone:646-680-2888
Mailing Address - Fax:516-542-5556
Practice Address - Street 1:1000 CHURCH AVENUE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11218-2710
Practice Address - Country:US
Practice Address - Phone:718-826-4000
Practice Address - Fax:718-826-4075
Is Sole Proprietor?:No
Enumeration Date:2006-11-30
Last Update Date:2021-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY196491207RI0200X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01723064Medicaid
G40824Medicare UPIN
NY01723064Medicaid