Organization
AVENUE P MEDICAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAKESH GUPTA MD (CEO)
(718) 815-1000
Entity
Organization
Contact information
Practice address
130 AVENUE P, BROOKLYN, NY 11204-6362
(718) 815-1000
(718) 815-8122
Mailing address
PO BOX 141277, STATEN ISLAND, NY 10314-1277
(718) 815-1000
(718) 815-8122
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
148223
NY
Other
Enumeration date
10/15/2011
Last updated
10/15/2011
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