# JAGDISH K. GUPTA M.D., P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1437382413
- **Authorized official:** DR. JAGDISH K. GUPTA M.D. (PRESIDENT)
- **Authorized official phone:** (718) 638-3150

## Contact information

- **Practice address:** 207 BERKELEY PL, BROOKLYN, NY 11217-3801
- **Practice address phone:** (718) 638-3150
- **Practice address fax:** (718) 638-4033
- **Mailing address:** 207 BERKELEY PL, BROOKLYN, NY 11217-3801
- **Mailing address phone:** (718) 638-3150
- **Mailing address fax:** (718) 638-4033

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 123886 | NY | Yes |

## Other

- **Enumeration date:** 08/25/2009
- **Last updated:** 08/25/2009