Gupta, Sujata

Gupta, Sujata is an individual health care provider with primary practice located at 259 1St St , Mineola NY 11501-3957. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine, which is considered as her primary health care specialty. Gupta, Sujata can be contacted via phone (516) 663-2211.

Contact Information

Primary practice address
259 1St St Mineola NY 11501-3957
Phone: (516) 663-2211
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine 207PP0204X 233908 New York

Profile Details

NPI number 1659479897
LBN Legal business name Gupta, Sujata
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2006
Last updated Apr 7th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659479897 NPPES
New York MEDICAID 02669783

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