Individual
ANIL GUPT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OPTICIAN
Contact information
Practice address
86-33 BROADWAY, ELMHURST, NY 11373
(718) 533-6664
Mailing address
86-33 BROADWAY, ELMHURST, NY 11373
(718) 533-6664
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
137485
NY
Other
Enumeration date
09/27/2006
Last updated
07/08/2007
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