Individual
PAYAL PATEL GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6740 3RD AVE, BROOKLYN, NY 11220-5252
(718) 491-5822
(718) 491-7800
Mailing address
35 HUDSON ST, APT 1103, JERSEY CITY, NJ 07302
(978) 729-2723
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
050804
CT
2085R0202X
Diagnostic Radiology Physician
238918
MA
2085R0202X
Diagnostic Radiology Physician
Primary
265034
NY
Other
Enumeration date
03/19/2008
Last updated
06/07/2012
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