Individual
NIDHI GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1400 PELHAM PKWY S, BLDG 8, POD 2C, BRONX, NY 10461-1138
(718) 918-4784
(718) 918-7379
Mailing address
1400 PELHAM PKWY S, ROOM 5N14, BRONX, NY 10461-1138
(718) 918-4784
(718) 918-7379
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
265336
NY
207Y00000X
Otolaryngology Physician
35097336
OH
Other
Enumeration date
12/07/2006
Last updated
08/27/2012
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