SearchNew York390200000X

Nipun Gupta

NPI 1538365598 · on the registry since 2007

Practice

Address
198 Village Green Dr
Port Jefferson Station, NY 11776
Phone
(631) 444-1077

Registry record

Primary taxonomy
390200000X
390200000X
Also registered as
390200000X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2012-02-09

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York