Individual
DR. NEELAM GUPTA
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1703 MERRICK AVE, MERRICK, NY 11566-1628
(516) 378-3311
(516) 546-1517
Mailing address
1703 MERRICK AVE, MERRICK, NY 11566-1628
(516) 378-3311
(516) 546-1517
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
172842
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01461536
—
NY
Enumeration date
01/11/2006
Last updated
07/08/2007
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