Organization
ENDOSCOPIC SURGERY OF NY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROM GUPTA M.D. (ADMINISTRATOR)
(718) 672-2824
Entity
Organization
Contact information
Practice address
10202 QUEENS BLVD, FOREST HILLS, NY 11375-3197
(718) 672-2824
Mailing address
10202 QUEENS BLVD, FOREST HILLS, NY 11375-3197
(718) 672-2824
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
207RG0100X
Gastroenterology Physician
—
—
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
—
—
Other
Enumeration date
02/24/2011
Last updated
12/18/2012
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