Individual
ANUJA GUPTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
23 DUNHILL RD, NEW HYDE PARK, NY 11040-2248
(516) 384-7051
Mailing address
23 DUNHILL RD, NEW HYDE PARK, NY 11040-2248
(516) 384-7051
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
13216
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01809925
—
NY
Enumeration date
07/27/2006
Last updated
12/19/2011
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