Provider Demographics
NPI:1154391316
Name:SARMAROY, BIJOY (MD)
Entity type:Individual
Prefix:
First Name:BIJOY
Middle Name:
Last Name:SARMAROY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2828
Mailing Address - Street 2:
Mailing Address - City:PLATTSBURGH
Mailing Address - State:NY
Mailing Address - Zip Code:12901-0258
Mailing Address - Country:US
Mailing Address - Phone:518-834-9484
Mailing Address - Fax:518-621-4236
Practice Address - Street 1:52 COURT ST
Practice Address - Street 2:
Practice Address - City:PLATTSBURGH
Practice Address - State:NY
Practice Address - Zip Code:12901-2832
Practice Address - Country:US
Practice Address - Phone:518-563-8441
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-23
Last Update Date:2023-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY138046208600000X
NY138046-1208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00718034Medicaid
NY38767BMedicare PIN
B82182Medicare UPIN