Dutta, Dhruba

Dutta, Dhruba is an individual health care provider with primary practice located at 11212 Liberty Ave , South Richmond Hill NY 11419-1814. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Dutta, Dhruba can be contacted via phone (718) 845-3540.

Contact Information

Primary practice address
11212 Liberty Ave South Richmond Hill NY 11419-1814
Phone: (718) 845-3540
Fax: (718) 845-3625
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 041284 New York

Profile Details

NPI number 1245482777
LBN Legal business name Dutta, Dhruba
Credentials R.PH
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 15th, 2008
Last updated Oct 15th, 2008 - about 17 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245482777 NPPES
New York MEDICAID 02721126

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