| Gupta Medical Practice | |
|
1703 Merrick Ave Merrick NY 11566-1628 | |
| (516) 378-3311 | |
| (516) 546-1517 |
| Full Name | Gupta Medical Practice |
|---|---|
| Speciality | Internal Medicine |
| Location | 1703 Merrick Ave, Merrick, New York |
| Authorized Official Name and Position | Jack Soterakis (PRESIDENT) |
| Authorized Official Contact | 5165626231 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gupta Medical Practice Po Box 95000-6625 Philadelphia PA 19195-6625 Ph: (631) 465-6297 | Gupta Medical Practice 1703 Merrick Ave Merrick NY 11566-1628 Ph: (516) 378-3311 |
| NPI Number | 1619315975 |
|---|---|
| Provider Enumeration Date | 06/10/2013 |
| Last Update Date | 07/19/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619315975 | NPI | - | NPPES |
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