Individual
ANIL GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1624 CROSBY AVE, BRONX, NY 10461-5255
(718) 822-0676
(718) 822-6516
Mailing address
1624 CROSBY AVE, BRONX, NY 10461-5201
(718) 822-0676
(718) 822-6516
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
174785
NY
208000000X
Pediatrics Physician
174785
NY
2080P0201X
Pediatric Allergy/Immunology Physician
174785
NY
Other
Enumeration date
06/13/2005
Last updated
04/11/2025
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