Individual
DR. NEERA GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
622 W 168TH ST, NEW YORK, NY 10032-3720
(212) 305-5903
Mailing address
622 W 168TH ST, PH 17 EAST--ROOM 108, NEW YORK, NY 10032-3720
Taxonomy
Speciality
Code
Description
License number
State
2080P0206X
Pediatric Gastroenterology Physician
Primary
265245
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A821010
—
CA
Enumeration date
07/12/2006
Last updated
08/02/2013
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