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Nipun Gupta
Student in an Organized Health Care Education/Training Program in Port Jefferson Station, New York
NPI 1538365598

Nipun Gupta is a Student in an Organized Health Care Education/Training Program based in Port Jefferson Station, NY. Nipun Gupta practices in Port Jefferson Station, NY. The NPI Number for Nipun Gupta is 1538365598 and holds a License No. 4301090557 (New York).

The current practice location address for Nipun Gupta is 198 Village Green Dr, Port Jefferson Station, NY and can be reached out via phone at 631-444-1077.

Location: 198 Village Green Dr, Port Jefferson Station, NY, 11776-4527
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1538365598
Provider Name
Nipun Gupta
Credential
Provider Entity Type
Individual
Gender
Male
Address
198 Village Green Dr, Port Jefferson Station, NY, 11776-4527
Phone Number
631-444-1077
Fax Number
Provider Enumeration Date
06/26/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
198 Village Green Dr
City
Port Jefferson Station
State
New York
Zip
11776-4527
Phone Number
631-444-1077
Fax Number
person
Provider Business Mailing Address Details
Address
198 Village Green Dr
City
Port Jefferson Station
State
New York
Zip
11776-4527
Phone Number
631-444-1077
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
4301090557 (Michigan)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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