Provider Information for 1689802464
The following NPI(s) contain information matching your search criteria. Please select the NPI to view all the data associated with the NPI.
Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know
Dr. DEEPALI GUPTA M.D.
Sex: Female
NPI: 1689802464
Last Updated: 2015-08-05
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1689802464 | ||||||||||||||||||||
| Enumeration Date | 2009-06-30 | ||||||||||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||||||||||
| Sole Proprietor | NO | ||||||||||||||||||||
| Status | Active | ||||||||||||||||||||
| Mailing Address | 125 COURT ST APT 6HN BROOKLYN, NY 11201-5663 United States Phone: | Fax: | ||||||||||||||||||||
| Primary Practice Address | 800 POLY PL BROOKLYN, NY 11209-7104 United States Phone: 718-836-6600 | Fax: | ||||||||||||||||||||
| Secondary Practice Address(es) | |||||||||||||||||||||
| Health Information Exchange |
| ||||||||||||||||||||
| Other Identifiers |
| ||||||||||||||||||||
| Taxonomy |
|