| NPI | 1255166120 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUCHIR GUPTA Medical Director 917-443-1263 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine |
| 207R00000X Internal Medicine | |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2024-09-03 |
| Last Update Date | 2025-09-24 |