Organization
GUPTA GASTRO ROCKAWAY OFFICE BASED SURGERY, P.C.
Active
Organization
GUPTA GASTRO ROCKAWAY OFFICE BASED SURGERY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NEVILLE GUPTA (ADMINISTRATOR)
(718) 372-7434
Entity
Organization
Contact information
Practice address
238 BEACH 20TH ST, FAR ROCKAWAY, NY 11691-3627
(718) 327-2555
(718) 327-9319
Mailing address
238 BEACH 20TH ST, FAR ROCKAWAY, NY 11691-3627
(718) 327-2555
(718) 327-9319
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
04/23/2007
Last updated
12/03/2009
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