Gupta, Sanjeev

Gupta, Sanjeev is an individual health care provider with primary practice located at 31 Hospital Dr , Massena NY 13662. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Adolescent Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Gupta, Sanjeev can be contacted via phone (315) 769-1099.

Contact Information

Primary practice address
31 Hospital Dr Massena NY 13662
Phone: (315) 769-1099
Fax: (315) 769-1077
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X 210511 New York
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 210511 New York

Profile Details

NPI number 1558360693
LBN Legal business name Gupta, Sanjeev
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2005
Last updated Jul 17th, 2014 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558360693 NPPES
New York MEDICAID 01647974

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