National Provider Identifier Database

JYOTI P GANGULY, MD – NPI #1366456113
Cardiovascular Disease

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.


Contact Information

JYOTI P GANGULY, MD
496 SMITHTOWN BYP
SUITE 101
SMITHTOWN, NY11787-5005
Phone: 631-979-8880
Fax: 631-979-8064
Website:
Specialty Taxonomy Code
* Cardiovascular Disease 207RC0000X

* Indicates primary specialty

NPI Profile & details for JYOTI P GANGULY

NPI Number 1366456113
Credentials MD
Entity Individual
Enumeration date 07/28/2006
Last updated 12/05/2008 - About 18 years ago
Sole proprietor1 Yes
Identifiers
  • NY License #: 141062
  • NY Medicaid: 00709119
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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