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NPI Code Detail

MEDICARE: DR. DEBABRATA DUTTA

MEDICARE: DR. DEBABRATA DUTTA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician132718NY

General Provider Information

NPI Number : 1710087382
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DEBABRATA DUTTA
Provider Business Mailing Address
First Line : 31 PONDFIELD RD W
Second Line :
City : BRONXVILLE
State : NY
Zip : 10708-2669
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 685 WHITE PLAINS RD
Second Line :
City : EASTCHESTER
State : NY
Zip : 10709-5545
Country : US
Telephone Number : 914-787-4100
Fax Number : 914-787-4199
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/24/2006
Last Update Date : 11/17/2022

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Directions to “ DR. DEBABRATA DUTTA ” Practice Location

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