# SAROJ GUPTA MD P.C.

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

## Provider details

- **NPI number:** 1841441839
- **Authorized official:** DR. SAROJ GUPTA MD. (PRESIDENT)
- **Authorized official phone:** (718) 658-5639

## Contact information

- **Practice address:** 18016 WEXFORD TER, JAMAICA, NY 11432-3000
- **Practice address phone:** (718) 658-5639
- **Practice address fax:** (718) 658-7474
- **Mailing address:** 18016 WEXFORD TER, JAMAICA, NY 11432-3000
- **Mailing address phone:** (718) 658-5639
- **Mailing address fax:** (718) 658-7474

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 150180 | NY | Yes |

## Other

- **Enumeration date:** 10/08/2008
- **Last updated:** 10/08/2008