MEDICARE: DR. BHASWATI BHATTACHARYA MD, PHD, MPH

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
1	207VG0400X	Gynecology Physician	223388	NY
2	2083P0901X	Public Health & General Preventive Medicine Physician	223388	NY
3	207Q00000X	Family Medicine Physician	223388	NY
4	208D00000X	General Practice Physician	C200757	CA
5	208D00000X	General Practice Physician	223388	NY

General Provider Information

NPI Number	:	1326247628
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BHASWATI BHATTACHARYA MD, PHD, MPH

Provider Business Mailing Address
First Line	:	172 5TH AVE STE 38
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10010-5903
Country	:	US
Telephone Number	:	212-645-6745
Fax Number	:

Provider Business Practice Location Address
First Line	:	116 W 23RD ST STE 500
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10011-2599
Country	:	US
Telephone Number	:	212-645-6745
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/16/2007
Last Update Date	:	08/29/2025

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