Organization
FLEETWOOD MEDICAL CARE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AWADHESH K GUPTA MD (OWNER)
(917) 414-0953
Entity
Organization
Contact information
Practice address
504 GRAMATAN AVE, MOUNT VERNON, NY 10552-3009
(917) 414-0953
(914) 668-1616
Mailing address
350 W 50TH ST APT 2GG, NEW YORK, NY 10019-4730
(917) 414-0953
(914) 665-1616
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
09/03/2021
Last updated
09/03/2021
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