Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0106X | Orthopaedic Hand Surgeon | 218753 | NY |
NPI | 1043264047 |
---|---|
Provider Name | Salil Gupta |
First Address | New York, NY 10003-4515 |
Second Address | New York, NY 10003-4515 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/05/2006 |
Last Update Date | 01/07/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
02735624 | (05) | NY |
088KF1 | BLUE SHIELD (01) | NY |
1215981717 | GROUP NPI (01) | NY |
133911727 | TAX ID (01) | NY |
9J3081 | BLUE SHIELD (01) | NY |
I50283 | (02) | NY |