Individual
RAHUL GUPTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1103 STEWART AVE, GARDEN CITY, NY 11530-4886
(516) 222-1822
Mailing address
8111 265TH ST, FLORAL PARK, NY 11004-1534
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
049930
NY
Other
Enumeration date
05/25/2007
Last updated
07/08/2007
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