Organization
GUPTA GASTRO ASSOCIATE OFFICE BASED SURGERY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NEVILLE GUPTA (ADMINISTRATOR)
(718) 372-7434
Entity
Organization
Contact information
Practice address
130 AVENUE P, BROOKLYN, NY 11204-6362
(718) 372-7434
(718) 266-2663
Mailing address
130 AVENUE P, BROOKLYN, NY 11204-6362
(718) 372-7434
Taxonomy
Speciality
Code
Description
License number
State
261QE0800X
Endoscopy Clinic/Center
Primary
148223
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
432552
JOINT COMMISSION HEALTH CARE ORGANIZATION #
NY
Enumeration date
04/06/2007
Last updated
11/19/2009
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