Organization
ANIL GUPTA,M.D.,P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANIL GUPTA M.D. (PRESIDENT)
(718) 822-0676
Entity
Organization
Contact information
Practice address
1624 CROSBY AVE, BRONX, NY 10461-5201
(718) 822-0676
Mailing address
1624 CROSBY AVE, BRONX, NY 10461-5201
(718) 822-0676
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
174785
NY
207KA0200X
Allergy Physician
174785
NY
208000000X
Pediatrics Physician
Primary
174785
NY
2080P0201X
Pediatric Allergy/Immunology Physician
174785
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01136034
—
NY
Enumeration date
09/25/2007
Last updated
09/25/2007
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