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Individual

DR. NIKHIL KUMAR GUPTA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2 MEDICAL PARK DR STE 10, WEST NYACK, NY 10994-1966
(845) 354-5000
Mailing address
2 MEDICAL PARK DR STE 10, WEST NYACK, NY 10994-1966
(845) 354-5000

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
303415
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036141335
IL
Enumeration date
04/20/2011
Last updated
07/02/2020
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