Provider Demographics
NPI:1932424744
Name:BHATTACHARYYA, GARGI (MD)
Entity Type:Individual
Prefix:DR
First Name:GARGI
Middle Name:
Last Name:BHATTACHARYYA
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 1:7107 31ST AVE
Mailing Address - Street 2:JACKSON HEIGHTS
Mailing Address - City:EAST ELMHURST
Mailing Address - State:NY
Mailing Address - Zip Code:11370-1725
Mailing Address - Country:US
Mailing Address - Phone:718-639-4693
Mailing Address - Fax:
Practice Address - Street 1:7107 31ST AVE
Practice Address - Street 2:JACKSON HEIGHTS
Practice Address - City:EAST ELMHURST
Practice Address - State:NY
Practice Address - Zip Code:11370-1725
Practice Address - Country:US
Practice Address - Phone:718-639-4693
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-05
Last Update Date:2010-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1580052084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry