Chakrabarti, Sujit
Chakrabarti, Sujit is an sole proprietor health care provider with primary practice located at 145 Grand Ave , Staten Island NY 10301-4058. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Chakrabarti, Sujit can be contacted via phone (718) 720-9670.Contact Information
Primary practice address
145 Grand Ave
Staten Island NY 10301-4058
Phone: (718) 720-9670
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 111181 | New York |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | C52332 | California |
Profile Details
| NPI number | 1578634309 |
|---|---|
| LBN Legal business name | Chakrabarti, Sujit |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 13th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1578634309 | NPPES |
| New York | MEDICAID | 00199293 |
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