Doctor Name: | ANGANA HOMCHAUDHURI |
NPI Number: | 1912262890 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | D.O. |
License Number: | |
Business Practice Address: | 34 E Montauk Hwy Suite 4 Hampton Bays, NY - 119461866 |
Business Phone Number: | 6317280505 |
Business Fax Number: | 6317284038 |
Mailing Address: | 57 Hampton Rd, Suite 201 SOUTHAMPTON |
State: | NY |
Postal Code: | 119684973 |
Phone Number: | 6312831126 |
Fax Number: | 6312837496 |
NPI Enumeration Date: | 07/07/2012 |
NPI Last Update Date: | 08/26/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |