Basic Information
| Provider Information | |||||||||
| NPI: | 1609874833 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | BHATTACHARYYA | ||||||||
| FirstName: | ARUN | ||||||||
| MiddleName: | KUMAR | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 49 LONG MEADOW DR | ||||||||
| Address2: | |||||||||
| City: | NEW CITY | ||||||||
| State: | NY | ||||||||
| PostalCode: | 109566223 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8456381855 | ||||||||
| FaxNumber: | 8456381855 | ||||||||
| Practice Location | |||||||||
| Address1: | 51-55 RT. 9W | ||||||||
| Address2: | HELEN HAYES HOSPITAL | ||||||||
| City: | WEST HAVERSTRAW | ||||||||
| State: | NY | ||||||||
| PostalCode: | 109931195 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8457864101 | ||||||||
| FaxNumber: | 8457864890 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/12/2005 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | X | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 204C00000X | 119036 | NY | Y | Allopathic & Osteopathic Physicians | Neuromusculoskeletal Medicine, Sports Medicine |
No ID Information.