Healthcare Provider Details

I. General information

NPI: 1821883398
Provider Name (Legal Business Name): PUBALI BISWAS M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/14/2025
Last Update Date: 04/14/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1901 FIRST AVENUE NYC HEALTH HOSPITALS METROPOLITAN DEPARTMENT OF MEDICIN
NEW YORK CITY NY
10029
US

IV. Provider business mailing address

1901 FIRST AVENUE NYC HEALTH HOSPITALS METROPOLITAN DEPARTMENT OF MEDICIN
NEW YORK CITY NY
10029
US

V. Phone/Fax

Practice location:
  • Phone: 212-423-6771
  • Fax: 212-423-8099
Mailing address:
  • Phone: 212-423-6771
  • Fax: 212-423-8099

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: