Provider Demographics
NPI:1992130074
Name:SENGUPTA, JANAKI NARAYANASWAMI (MSC, RD, CDN,CDE)
Entity type:Individual
Prefix:MS
First Name:JANAKI
Middle Name:NARAYANASWAMI
Last Name:SENGUPTA
Suffix:
Gender:F
Credentials:MSC, RD, CDN,CDE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:103 MADISON AVE
Mailing Address - Street 2:
Mailing Address - City:GARDEN CITY PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11040-5226
Mailing Address - Country:US
Mailing Address - Phone:516-414-0143
Mailing Address - Fax:
Practice Address - Street 1:103 MADISON AVE
Practice Address - Street 2:
Practice Address - City:GARDEN CITY PARK
Practice Address - State:NY
Practice Address - Zip Code:11040-5226
Practice Address - Country:US
Practice Address - Phone:516-414-0143
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-09
Last Update Date:2013-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY001969133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered