MEDICARE: DR. MANASH K DASGUPTA M.D.

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	174400000X	Specialist	129957	NY

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	W38281	OTHER	NY	MEDICARE GROUP PIN
5	CK6794	OTHER	NY	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	445112311	OTHER	NY	UNITED HEALTH CARE
3	P412198	OTHER	NY	OXFORD
4	1000005074	OTHER	NY	AFFINITY HEALTH PLAN
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7	3300322	OTHER	NY	GHI

General Provider Information

NPI Number	:	1336136993
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MANASH K DASGUPTA M.D.

Provider Business Mailing Address
First Line	:	9A CENTRAL PARK AVE
Second Line	:
City	:	YONKERS
State	:	NY
Zip	:	10705-4746
Country	:	US
Telephone Number	:	914-376-3330
Fax Number	:	914-376-1566

Provider Business Practice Location Address
First Line	:	9A CENTRAL PARK AVE
Second Line	:
City	:	YONKERS
State	:	NY
Zip	:	10705-4746
Country	:	US
Telephone Number	:	914-376-3330
Fax Number	:	914-376-1566

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

Provider Enumeration Date	:	09/29/2005
Last Update Date	:	06/28/2013

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Directions to “ DR. MANASH K DASGUPTA M.D.” Practice Location

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