Individual
DR. ABHISHEK KUMAR GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
101 NICOLLS RD, STONY BROOK, NY 11794-0001
(631) 444-2975
(631) 444-2907
Mailing address
101 NICOLLS RD PO BOX 1559, STONY BROOK, NY 11794-8480
(631) 444-2975
(631) 444-2907
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
298386
NY
Other
Enumeration date
04/28/2014
Last updated
04/04/2019
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