ASHA GUPTA MD
Allergy and Immunology
Johnson City, New York
Provider NPI: 1669463691
Provider Information:ASHA GUPTA MD
Practice Location:
260 RIVERSIDE DR JOHNSON CITY, NY 13790 US
Tel: 607-798-7811 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 207K00000X | Physicians Allergy & Immunology | NY | 1243061 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
00775860 | NY | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
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