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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 Specialty Code Provider Type

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for JYOTI P GANGULY · (Male)

NPI # 1366456113
Status Active
Credentials MD
Entity Individual
Enumeration date 07/28/2006
Last updated 12/05/2008 - About 18 years ago
Sole proprietor 1 Yes
Identifiers
  • NY License # 141062
  • NY Medicaid 00709119
Hospital affiliation(s)
  • JOHN T MATHER MEMORIAL HOSPITAL OF PORT JEFFERSON - (Acute Care)
    75 NORTH COUNTRY ROAD
    PORT JEFFERSON, NY 11777
  • ST CATHERINE OF SIENA HOSPITAL - (Acute Care)
    50 ROUTE 25A
    SMITHTOWN, NY 11787
  • ST CHARLES HOSPITAL - (Acute Care)
    200 BELLE TERRE ROAD
    PORT JEFFERSON, NY 11777
  • UNIVERSITY HOSPITAL ( STONY BROOK ) - (Acute Care)
    HEALTH SCIENCES CENTER SUNY
    STONY BROOK, NY 11794
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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