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Organization
RAKESH GUPTA MEDICAL P.C.
Active
Organization
RAKESH GUPTA MEDICAL P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NEVILLE GUPTA I (ADMINISTRATIVE ASSISTANT)
(718) 372-7434
Entity
Organization
Contact information
Practice address
834 GLENRIDGE AVE, VALLEY STREAM, NY 11581-3019
(718) 327-2555
(718) 327-9319
Mailing address
238 BEACH 20TH ST, FAR ROCKAWAY, NY 11691-3627
(718) 327-2555
(718) 327-9319
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
148223
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00704036
—
NY
05
—
02533939
—
NY
01
—
CB6577
RAILROAD MEDCIARE
NY
01
—
CB6578
RAILROAD MEDICARE
NY
01
—
P00049307
PALMETTO GBA
NY
01
—
P00105544
PALMETTO GBA
NY
Enumeration date
10/11/2006
Last updated
03/06/2008
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