Prem Prakash Gupta M.d P.c

NPI #1013943141 in Ferndale, New York

Provider Information

NPI Number
1013943141
Entity Type
Organization
Organization Name
Prem Prakash Gupta M.d P.c
Primary Specialty
Psychiatry & Neurology - Neurology
Enumeration Date
Jun 23, 2006
Last Updated
Oct 10, 2007

Practice Location

Address
39 OLD MONTICELLO RD
ZIP Code
12734-5224
Phone
(845) 292-4560

Authorized Official

Name
DR. PREM PRAKASH GUPTA, M.D
Title
PRESIDENT
Phone
(845) 292-4560

Specialties & Taxonomy Codes

Specialty
Psychiatry & Neurology - NeurologyNeurology

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