Individual
ASHA GUPTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
260 RIVERSIDE DR, JOHNSON CITY, NY 13790-2727
(607) 798-7811
(607) 770-7035
Mailing address
260 RIVERSIDE DR, JOHNSON CITY, NY 13790-2727
(607) 798-7811
(607) 770-7035
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
1243061
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00775860
—
NY
Enumeration date
10/31/2005
Last updated
04/23/2008
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