Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RP1001X | Pulmonary Disease | 1-197319 | NY |
N | 207RS0012X | Sleep Medicine | 197319 | NY |
NPI | 1013963354 |
---|---|
Provider Name | Vinita Gupta |
First Address | Hudson, NY 12534-2907 |
Second Address | Hudson, NY 12534-2907 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/05/2006 |
Last Update Date | 17/03/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01648246 | (05) | NY |
G26504 | (02) | NY |