Provider Demographics
NPI:1053005405
Name:SARKAR, SWARUP
Entity type:Individual
Prefix:
First Name:SWARUP
Middle Name:
Last Name:SARKAR
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:86 ELKTON LN
Mailing Address - Street 2:
Mailing Address - City:NORTH BABYLON
Mailing Address - State:NY
Mailing Address - Zip Code:11703-2904
Mailing Address - Country:US
Mailing Address - Phone:929-476-3889
Mailing Address - Fax:
Practice Address - Street 1:86 ELKTON LN
Practice Address - Street 2:
Practice Address - City:NORTH BABYLON
Practice Address - State:NY
Practice Address - Zip Code:11703-2904
Practice Address - Country:US
Practice Address - Phone:929-476-3889
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-07
Last Update Date:2023-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker