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1366456113
JYOTI PRAKASH GANGULY
SMITHTOWN, NY
NPI
1366456113
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207RC0000X Internal Medicine, Cardiovascular Disease
(Licence: NY 141062)
Enumeration Date
2006-07-28
Last Update Date
2008-12-05
Business Address
Dr. JYOTI PRAKASH GANGULY M.D.
496 SMITHTOWN BYP SUITE 101
SMITHTOWN, NY 11787-5005
Phone number: 631-979-8880
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Mailing Address
Dr. JYOTI PRAKASH GANGULY M.D.
496 SMITHTOWN BYP SUITE 101
SMITHTOWN, NY 11787-5005
Phone number: 631-979-8880
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