Most Relevant Information
Provider Data
| NPI Number: | 1003068412 |
| Provider Name: | SUSMITA DASGUPTA M.D |
| Entity Type: | Individual |
| Taxonomy Code: | 2084P0800X |
| Specialty: | Psychiatry & Neurology |
| License Number: | AC5518367825 |
Most Important Dates
| Enumeration Date: | 10/16/2008 |
| Last Updated: | 10/16/2008 |
Provider Practice Location
79-25 WINCHESTER BLVD
MEDICAL EDUCATION, CREEDMOOR PSYCHIATRIC CENTER
QUEENS VILLAGE
NY
11427
Practice Location Phone/Fax
| Phone: | 7182645530 |
| Fax: |
Provider Mailing Location
13920 85TH DR
BRIARWOOD
NY
114352728
Provider Mailing Phone/Fax
| Phone: | 2055672502 |
| Fax: |
Suggested EMR
Psychiatry EMR