Individual
SAROJ GUPTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
18016 WEXFORD TER, STE CB, JAMAICA, NY 11432-3004
(718) 658-5639
(718) 865-9108
Mailing address
18016 WEXFORD TER, STE CB, JAMAICA, NY 11432-3004
(718) 658-5639
(718) 865-9108
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
150180
NY
Other
Enumeration date
06/09/2005
Last updated
04/19/2011
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