Individual
LEELA ANITA GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1190 5TH AVE, NEW YORK, NY 10029-6503
(212) 427-1540
(212) 410-7196
Mailing address
1 GUSTAVE L LEVY PL # 1030, NEW YORK, NY 10029-6504
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
432147
NY
Other
Enumeration date
10/06/2021
Last updated
06/03/2024
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