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Individual

ASHISH GUPTA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
271 MADISON AVE, SUITE 1601, NEW YORK, NY 10016-1001
(317) 703-4996
Mailing address
271 MADISON AVE, SUITE 1601, NEW YORK, NY 10016-1001
(317) 703-4996

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
034053
NY

Other

Enumeration date
03/07/2012
Last updated
07/03/2012
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