Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207K00000X | Allergist & Immunologist | 280625 | NY |
NPI | 1154611804 |
---|---|
Provider Name | Ratika Gupta |
First Address | Tarrytown, NY 10591-5107 |
Second Address | Brooklyn, NY 11209-5908 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/04/2011 |
Last Update Date | 17/01/2020 |