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Individual

NITASHA GUPTA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
345 E 37TH ST RM 210, NEW YORK, NY 10016
(212) 922-1430
Mailing address
345 E 37TH ST RM 210, NEW YORK, NY 10016-3256
(212) 922-1430
(212) 922-1436

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125062666
IL
207W00000X
Ophthalmology Physician
Primary
292898
NY
207W00000X
Ophthalmology Physician
67480-20
WI

Other

Enumeration date
06/13/2013
Last updated
10/03/2019
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