Provider Demographics
NPI:1891058012
Name:KUNDU, PRIYA V (DO)
Entity type:Individual
Prefix:DR
First Name:PRIYA
Middle Name:V
Last Name:KUNDU
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:PRIYA
Other - Middle Name:
Other - Last Name:VIJAY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:200 VARICK ST RM 900
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10014-7432
Mailing Address - Country:US
Mailing Address - Phone:212-620-0340
Mailing Address - Fax:
Practice Address - Street 1:200 VARICK ST RM 900
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10014-7432
Practice Address - Country:US
Practice Address - Phone:212-620-0340
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-06-21
Last Update Date:2021-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2935272084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
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