PROVAT CHANDRA DAS

LONG ISLAND CITY, NY
NPI1598964835
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207R00000X Internal Medicine
(Licence: NY  241991)
Enumeration Date2007-07-17
Last Update Date2007-07-17
Business Address
Dr. PROVAT CHANDRA DAS MD
25-10 30TH AVENUE 2ND FLOOR
LONG ISLAND CITY, NY 11102
Phone number: 718-267-4365
Mailing Address
Dr. PROVAT CHANDRA DAS MD
3518 33RD ST
ASTORIA, NY 11106-2241
Phone number: 718-721-3651
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