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Organization

ADVENT MEDICAL SERVICES PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. NINA GUPTA M.D. (PHYSICIAN)
(718) 897-0008
Entity
Organization

Contact information

Practice address
6860 AUSTIN ST, SUITE 303, FOREST HILLS, NY 11375-4245
(718) 897-0008
(718) 897-1002
Mailing address
322 W 57TH ST, APT 50U, NEW YORK, NY 10019-3701
(718) 897-0008
(718) 897-1002

Taxonomy

Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
186054
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01642433
NY
Enumeration date
08/20/2008
Last updated
03/26/2013
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