SUBRATA MUKHERJEE


Address: 4 Executive Park Dr, Albany, NY 12203-3718
Phone: 5184827688

SUBRATA MUKHERJEE (NPI# 1942529631) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1942529631
Entity Type Individual
Full Name SUBRATA MUKHERJEE
Credential DDS
Practice Address 4 Executive Park Dr
Albany
NY 12203-3718
Practice Telephone 5184827688
Mailing Telephone 5184827688
Enumeration Date 2010-05-20
Last Update Date 2016-03-18
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 122300000X Dentist 055496 NY Dental Providers

Other Provider Identifier

State Issuer Identifier Type Code
NY 03389122 05

Office Location

Street Address 4 EXECUTIVE PARK DR
City ALBANY
State NY
Zip Code 12203-3718

Providers in the same location

NPI Name Taxonomy Address Enumeration
1154314805 Thomas F. Fashouer Specialist/Technologist 4 Executive Park Dr, Albany Physical Therapy, Albany, NY 12203-3718 2005-08-29
1578045258 Juwon Park Dmd PC Dentist 4 Executive Park Dr, Albany, NY 12203-3718 2018-08-30
1265936496 Purificato Physical Therapy Pllc Clinic/Center 4 Executive Park Dr, Albany, NY 12203-3718 2018-03-21
1649799636 James Nalbone, Md Pllc Psychiatry & Neurology 4 Executive Park Dr, Albany, NY 12203-3718 2017-09-12
1962883595 Terence Hoyt Counselor 4 Executive Park Dr, Ste 201, Albany, NY 12203-3718 2015-06-09
1831529098 Sphpma Crus Urology Urology 4 Executive Park Dr, Albany, NY 12203-3718 2013-11-25
1184979171 Capital Region Urological Surgeons Specialist 4 Executive Park Dr, Albany, NY 12203-3718 2012-07-17
1164781837 Phrances Blay Hinch Nurse Practitioner 4 Executive Park Dr, Albany, NY 12203-3718 2012-05-15
1720300296 Andrea Berkowitz Lcsw Social Worker 4 Executive Park Dr, Albany, NY 12203-3718 2010-02-24
1902031107 Thelma Costello Ms Lmhc PC Community/Behavioral Health 4 Executive Park Dr, 2nd Flr, Albany, NY 12203-3718 2009-05-18
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1720695885 Claire Ellen Williams Student in an Organized Health Care Education/Training Program Advanced Therapy, Pllc, 10b Madison Avenue Extension, Albany, NY 12203 2020-09-23
1912551425 Samaritan Hospital of Troy, New York Nurse Practitioner 1440 Western Avenue, Capital District Internal Medicine, Albany, NY 12203 2019-08-01
1205365640 Esther Pearl Jackson Counselor 41 North Allen St. - Pine Hills Elementary School, Albany, NY 12203 2017-06-08
1558899591 Diane Marie Wyatt Social Worker 1044 Western Ave, Albany, NY 12203 2017-06-02
1366980419 Lessie Lynette Johnson Social Worker 40 N. Main Ave, St. Catherine's Center for Children, Albany, NY 12203 2017-02-09
1588108617 Theresa Viola Dicroce Physical Therapy Assistant One Rapp Road, Advanced Therapy, P.l.l.c., Albany, NY 12203 2016-12-08
1366813818 Eileen Nancy Nagy Audiologist 14 Columbia Circle, Suite 202, Albany, NY 12203 2015-10-09
1609242197 Jaclyn Whitman Specialist 230 Washington Ave Extention, Albany, NY 12203 2015-08-19
1447657457 Joyce Yvette Dewitt-parker Psychologist 260 Washington Ave. Ext., Corporate Plaza, Suite 101, Albany, NY 12203 2014-11-20
1023357373 Meredith Gaucher Physical Therapist 1971 Western Ave Ste 100, Albany, NY 12203 2013-02-06
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Taxonomy Information

Taxonomy Code 122300000X
Grouping Dental Providers
Classification Dentist

Taxonomy Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1265054175 Members Plus Dental, LLC Dentist 2220 9th Ave Se Ste B, Albany, OR 97322-5000 2020-05-13
1528590064 Priscila Lee Dentist 727 San Pablo Ave, Albany, CA 94706 2017-04-03
1447628516 Ashley Chan Dentist 545 Pierce St Apt 1109, Albany, CA 94706-1048 2015-09-08
1174918031 Ru-mee Han Dentist 12 California Ave, Apt. B510, Albany, NY 12205-2850 2015-03-30
1629470919 St. Peter's Hospitalof The City of Albany Dentist 1092 Madison Avenue, Albany, NY 12208-2248 2014-09-18
1437563475 Michael James Cox Dentist 602 Pointe North Blvd, Albany, GA 31721-1513 2014-06-18
1447693064 Ross Henry Thomas IIi Dentist 473 Kingswood Ct, Albany, GA 31707-3062 2013-04-12
1154663573 Robert Michael Deitz Dentist 272 New Scotland Ave, Albany, NY 12208-3116 2013-03-24
1952655581 Mh Orthodontics Dentist 1030 W Gordon Ave Ste A, Albany, GA 31701-4515 2012-11-05
1902152861 John Frank Rymanowski Dentist 3 Birch Hill Rd, Albany, NY 12211-2003 2012-07-30
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Competitor

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City ALBANY
Zip Code 12203

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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