Individual
PRIYANKA GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3410-18 BROADWAY, 2ND FLOOR, NEW YORK, NY 10031
(212) 283-2099
(212) 234-2939
Mailing address
3410 BROADWAY, 2ND FLOOR, NEW YORK, NY 10031
(212) 283-2099
(212) 234-2939
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
002876
NY
Other
Enumeration date
08/09/2007
Last updated
11/21/2011
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