Individual
NUPUR UPPAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 COMMUNITY DR FL 2, GREAT NECK, NY 11021-5501
(516) 465-8200
(516) 465-8202
Mailing address
100 COMMUNITY DR FL 2, GREAT NECK, NY 11021-5501
(516) 465-8200
(516) 465-8202
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
289482
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/15/2012
Last updated
07/21/2022
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