MEDICARE: MS. JANAKI NARAYANASWAMI SENGUPTA MSC., RD, CDN,CDE

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	133V00000X	Registered Dietitian	001969	NY

General Provider Information

NPI Number	:	1992130074
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. JANAKI NARAYANASWAMI SENGUPTA MSC., RD, CDN,CDE

Provider Business Mailing Address
First Line	:	103 MADISON AVE
Second Line	:
City	:	GARDEN CITY PARK
State	:	NY
Zip	:	11040-5226
Country	:	US
Telephone Number	:	516-414-0143
Fax Number	:

Provider Business Practice Location Address
First Line	:	103 MADISON AVE
Second Line	:
City	:	GARDEN CITY PARK
State	:	NY
Zip	:	11040-5226
Country	:	US
Telephone Number	:	516-414-0143
Fax Number	:

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

Provider Enumeration Date	:	09/09/2013
Last Update Date	:	09/09/2013

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