Provider Demographics
NPI:1356798151
Name:GUPTE, CHITRA (RPH)
Entity type:Individual
Prefix:MRS
First Name:CHITRA
Middle Name:
Last Name:GUPTE
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:174 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:NEW CITY
Mailing Address - State:NY
Mailing Address - Zip Code:10956-3380
Mailing Address - Country:US
Mailing Address - Phone:845-634-6100
Mailing Address - Fax:845-634-6101
Practice Address - Street 1:174 S MAIN ST
Practice Address - Street 2:
Practice Address - City:NEW CITY
Practice Address - State:NY
Practice Address - Zip Code:10956-3380
Practice Address - Country:US
Practice Address - Phone:845-634-6100
Practice Address - Fax:845-634-6101
Is Sole Proprietor?:No
Enumeration Date:2016-05-21
Last Update Date:2016-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY040296183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist