Individual
DR. NIDHI GUPTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
225 COMMUNITY DRIVE, SUITE 110, GREAT NECK, NY 11021
(516) 918-4802
(516) 918-4839
Mailing address
225 COMMUNITY DRIVE, SUITE 110, GREAT NECK, NY 11021
(646) 714-5096
Taxonomy
Speciality
Code
Description
License number
State
207SG0201X
Clinical Genetics (M.D.) Physician
Primary
338414
NY
208000000X
Pediatrics Physician
338414
NY
Other
Enumeration date
09/04/2020
Last updated
09/23/2025
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