Guptill, Gloria Grace

Guptill, Gloria Grace is an individual health care provider with primary practice located at 250 Delaware Ave , Delmar NY 12054-1420. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Guptill, Gloria Grace can be contacted via phone (518) 439-8077.

Contact Information

Primary practice address
250 Delaware Ave Delmar NY 12054-1420
Phone: (518) 439-8077
Fax: (518) 439-8070
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X 62714 New York
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 256529 New York

Profile Details

NPI number 1295994002
LBN Legal business name Guptill, Gloria Grace
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 6th, 2008
Last updated Aug 2nd, 2011 - about 14 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 1295994002 NPPES
New York MEDICAID 03349772

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