MEDICARE: KALPANA ARYA-GUPTA PHYSICIAN P.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist	202517	NY

General Provider Information

NPI Number	:	1336180272
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KALPANA ARYA-GUPTA PHYSICIAN P.C.

Provider Business Mailing Address
First Line	:	12 RIDGE CT
Second Line	:
City	:	GLEN HEAD
State	:	NY
Zip	:	11545-2752
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7517 METROPOLITAN AVE
Second Line	:
City	:	MIDDLE VILLAGE
State	:	NY
Zip	:	11379-2638
Country	:	US
Telephone Number	:	718-326-0400
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	KALPANA ARYA-GUPTA
Credential	:
Telephone Number	:	516-946-9555

Provider Enumeration Date	:	06/10/2006
Last Update Date	:	09/15/2025

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