Individual
DR. MOULIK GUPTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
301 E MAIN ST, BAY SHORE, NY 11706-8408
(347) 781-2777
Mailing address
517 ELWOOD RD, EAST NORTHPORT, NY 11731-4805
(347) 781-2777
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
311921-01
NY
Other
Enumeration date
04/03/2017
Last updated
05/02/2024
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