Individual
GEETA GUPTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
76 DARCY CIR, ISLIP, NY 11751-3704
(631) 581-1866
Mailing address
76 DARCY CIR, ISLIP, NY 11751-3704
(631) 581-1866
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
129989
NY
Other
Enumeration date
02/08/2007
Last updated
07/08/2007
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