Individual
INDRANIL GUPTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3187 STEINWAY ST, SUITE 6, ASTORIA, NY 11103-9816
(718) 626-4881
Mailing address
1033 ROSEDALE ROAD, NORTH WOODMERE, NY 11581
(516) 837-9113
(516) 837-9113
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
206503
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01765282
—
NY
Enumeration date
11/15/2006
Last updated
04/12/2011
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