SOUMYADIPTA HAZRA (NPI# 1124291224) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124291224 |
| Entity Type | Individual |
| Full Name | SOUMYADIPTA HAZRA |
| Practice Address |
1 Brookdale Plz Dept of Psychiatry,12chc Brooklyn NY 11212-3139 |
| Mailing Address |
660 E 98th St Apt 5e Brooklyn NY 11236-1349 |
| Practice Telephone | 7182405883 |
| Mailing Telephone | 7189154046 |
| Enumeration Date | 2008-04-09 |
| Last Update Date | 2008-04-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0802X |
Psychiatry & Neurology Specialization: Addiction Psychiatry |
247252 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
1 BROOKDALE PLZ DEPT OF PSYCHIATRY,12CHC |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11212-3139 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265432868 | Steven Braha | Nuclear Medicine | 1 Brookdale Plz, Brooklyn, NY 11212-3139 | 2005-07-26 |
| 1902406234 | Christine Huynh | Student in an Organized Health Care Education/Training Program | 1 Brookdale Plz, Brooklyn, NY 11212-3139 | 2020-10-27 |
| 1043818784 | Kevin Courtney Kemp | Student in an Organized Health Care Education/Training Program | 1 Brookdale Plz, Brooklyn, NY 11212-3198 | 2020-10-14 |
| 1184221640 | Manjusha Kuraganti | Student in an Organized Health Care Education/Training Program | 1 Brookdale Plz, Brooklyn, NY 11212-3139 | 2020-10-07 |
| 1942807920 | Nancy Rizzuto | Nurse Practitioner | 1 Brookdale Plz, Brooklyn, NY 11212-3139 | 2020-10-03 |
| 1699372854 | Ann Andrasovich | Student in an Organized Health Care Education/Training Program | 1 Brookdale Plz, Brooklyn, NY 11212-3198 | 2020-10-01 |
| 1437766151 | Elena Dudorova | Student in an Organized Health Care Education/Training Program | 1 Brookdale Plz, Brooklyn, NY 11212-3139 | 2020-09-27 |
| 1972110757 | Pratichhya Khatiwada | Student in an Organized Health Care Education/Training Program | 1 Brookdale Plz, Brooklyn, NY 11212-3139 | 2020-09-25 |
| 1780290031 | Hajira Basit | Student in an Organized Health Care Education/Training Program | 1 Brookdale Plz, Brooklyn, NY 11212-3139 | 2020-09-22 |
| 1932715661 | Orzu Yuldasheva | Student in an Organized Health Care Education/Training Program | 1 Brookdale Plz, Brooklyn, NY 11212-3139 | 2020-09-17 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396365136 | Ama Asabea Asare | Student in an Organized Health Care Education/Training Program | Emergency Medicine, Brookdale University Hospital and M, 1 Brookdale Plaza, Brooklyn, NY 11212 | 2020-04-22 |
| 1811516560 | Amrusha Musunuru | Student in an Organized Health Care Education/Training Program | Room 222 Chc, Department of Surgical Services, The Broo, Brookdale, NY 11212 | 2020-04-13 |
| 1508414707 | Sri Lakshmi Atthota | Student in an Organized Health Care Education/Training Program | Brookdale University Hospital,room 222, Chc, One Brookdale Plaza, Brooklyn,new York, NY 11212 | 2019-08-30 |
| 1457812273 | Shane Devanand Naidoo | Student in an Organized Health Care Education/Training Program | Dept of Emergency Medicine, Brookdale Hospital Med Cntr, 1 Brookdale Plaza, Brooklyn, NY 11212 | 2019-03-26 |
| 1790262467 | Xiao Xiong You | Student in an Organized Health Care Education/Training Program | 1 Brookdale Plaza, Department of Adult Psychiatry, Brooklyn, NY 11212 | 2018-07-25 |
| 1215426143 | Danielle Levy | Counselor | 298 Hegeman Ave, Brooklyn, NY 11212 | 2018-05-07 |
| 1699298026 | Alexander Andreev | Student in an Organized Health Care Education/Training Program | 1 Brookdale Plaza, Brooklyn, Brooklyn, NY 11212 | 2017-07-18 |
| 1598288011 | Naga Venkata Divya Challa | Student in an Organized Health Care Education/Training Program | One Brookdale Plaza, 8 Chc Room 801-5, Department of Pediatrics, Brookdale University Hospital, Brooklyn, NY 11212 | 2017-07-18 |
| 1912428921 | Sadrac Edouard | Licensed Practical Nurse | 498 East 94th St, Brooklyn, NY 11212 | 2017-06-29 |
| 1023544194 | Orrett Layne | Licensed Practical Nurse | 279 East 92nd Street, Brooklyn, NY 11212 | 2017-05-10 |
| Find all providers in zip 11212 | ||||
| Taxonomy Code | 2084P0802X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Addiction Psychiatry |
| Addiction Psychiatry is a subspecialty of psychiatry that focuses on evaluation and treatment of individuals with alcohol, drug, or other substance-related disorders, and of individuals with dual diagnosis of substance-related and other psychiatric disorders. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679732101 | Shahil M Patel | Psychiatry & Neurology | 660 E 98th St, 11e, Brooklyn, NY 11236-1356 | 2008-06-09 |
| 1053523738 | Young Soon Suh | Psychiatry & Neurology | 1480 Prospect Pl, Brooklyn, NY 11213-2427 | 2007-05-04 |
| 1609881358 | Jerry Padpad Co | Psychiatry & Neurology | 800 Poly Pl Rm 14-200, Brooklyn, NY 11209 | 2006-07-30 |
| 1467898817 | Ashwin Jacob Mathai | Psychiatry & Neurology | 451 Clarkson Ave, Brooklyn, NY 11203-2054 | 2013-05-13 |
| 1194912907 | Art of Medicine, P.C. | Psychiatry & Neurology | 2409 Ocean Ave Unit 1f, Brooklyn, NY 11229-3576 | 2007-09-26 |
| 1467487991 | Boris Magid | Psychiatry & Neurology | 760 Broadway, Woodhull Medical & Mental Health Center, Brooklyn, NY 11206 | 2006-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477196236 | Midtown Applied Medicine,pc | Psychiatry & Neurology | 244 5th Avenu, Ste 2095, Ste 2095, New York, NY 10001 | 2019-10-24 |
| 1285276378 | Nesconset Medical Associates Pllc | Psychiatry & Neurology | 195 Southern Blvd Ste 104, Nesconset, NY 11767-1738 | 2019-10-10 |
| 1629534474 | Priyadarshan Bajpayi, M.d. PC | Psychiatry & Neurology | 5550 Merrick Rd Ste 200, Massapequa, NY 11758-6238 | 2019-02-18 |
| 1912417106 | Miguel Calimano Md PC | Psychiatry & Neurology | 88 Terry Rd # 7, Smithtown, NY 11787-3811 | 2017-10-03 |
| 1326432238 | Kamehameha Health and Wellness Nonprofit Corporation | Psychiatry & Neurology | 3250 Weschester Avenue, Suite Ll4, Bronx, NY 10461-4548 | 2015-03-28 |
| 1518229400 | Leila Mariam Vaezazizi | Psychiatry & Neurology | 260 E 161st St # C-33, Bronx, NY 10451-3512 | 2012-06-15 |
| 1447529474 | New York Center of Addiction LLC | Psychiatry & Neurology | 506 Willis Avenue, 7th Floor, Bronx, NY 10455 | 2011-12-20 |
| 1750691457 | Apollo Neale Palomares | Psychiatry & Neurology | 78 Lafayette Ave Ste 100, Suffern, NY 10901-5551 | 2010-10-14 |
| 1144534975 | Abha Gupta | Psychiatry & Neurology | 197 Bowery, New York, NY 10002-2867 | 2010-08-04 |
| 1427379932 | Bay Shore Medical Services, P.C. | Psychiatry & Neurology | 56 W Main St # A, Bay Shore, NY 11706-8327 | 2010-06-18 |
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| 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.