Individual
BRIJENDRA KUMAR GUPTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6713 LINCOLN AVENUE, LOCKPORT, NY 14094
(716) 433-0531
(716) 433-8446
Mailing address
6713 LINCOLN AVENUE, LOCKPORT, NY 14094
(716) 433-0531
(716) 433-8446
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
141063
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00010070501
UNIVERA
—
01
—
000508042001
BCBS OF WNY
—
05
—
00627069
—
NY
01
—
0109980
INDEPENDENT HEALTH
—
Enumeration date
03/03/2006
Last updated
03/12/2010
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