Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | 264900 | NY |
NPI | 1053630699 |
---|---|
Provider Name | Dr. Ashita Gupta |
First Address | New York, NY 10001-5303 |
Second Address | New York, NY 10001-5303 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 21/05/2010 |
Last Update Date | 18/04/2019 |