Individual
DEEPIKA THAKUR-GUPTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
115 W 45TH ST STE 301, NEW YORK, NY 10036-4005
(212) 300-5545
Mailing address
7 PARK AVE APT 73, NEW YORK, NY 10016-4356
(917) 860-6110
Taxonomy
Speciality
Code
Description
License number
State
2251N0400X
Neurology Physical Therapist
Primary
030257
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12421185
CAQH
NY
Enumeration date
07/09/2010
Last updated
12/17/2012
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