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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