Individual
DR. SUJATA GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
259 1ST ST, MINEOLA, NY 11501-3957
(516) 663-2211
Mailing address
10106 67TH DR, APT 6 E, FOREST HILLS, NY 11375-2760
(718) 896-3272
Taxonomy
Speciality
Code
Description
License number
State
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
Primary
233908
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02669783
—
NY
Enumeration date
09/20/2006
Last updated
04/07/2021
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