Individual
AMY GUPITEO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
F. N. P.
Contact information
Practice address
191 BRADLEY AVE, GOLDEN GATE NURSING HOME, STATEN ISLAND, NY 10314-5166
(718) 351-1136
(718) 876-5969
Mailing address
97 NEW DORP LN, SUITE A, STATEN ISLAND, NY 10306-2364
(718) 876-6220
(718) 876-5969
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F336175-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03282602
—
NY
Enumeration date
05/10/2010
Last updated
06/06/2013
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