Jason Brett Lupow in Rye Brook - General Practice

Jason Brett Lupow - NPI 1417055674

Jason Brett Lupow is a General Practice in Rye Brook, New York. Jason Brett Lupow practices all healthcare services and medical treatments related to General Practice. The NPI Number for Jason Brett Lupow is 1417055674. The last update date is 2013-10-11.

Jason Brett Lupow's current location address is 10 Mark Dr, Rye Brook, New York. You can contact this provider via phone number 9177043356. The mailing address for Jason Brett Lupow is 10 Mark Dr, Rye Brook, New York. To know further, please read the information below!

Provider Profile Detail

Provider Name Jason Brett Lupow
Address 10 Mark Dr, Rye Brook, New York
Phone Number 9177043356
Fax Number
Sole Proprietor Y
Credentials M.D.

NPI Number Detail

NPI Number 1417055674
Provider Enumeration Date 2006-09-20
Last Updated Date 2013-10-11

Provider Mailing Address Detail

Address 10 Mark Dr
City Rye Brook
State New York (NY)
Post Code 105731411
Phone Number 9177043356
Fax Number

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 208D00000X
Licence No 237641
Definition:
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
P00391144 NJ RAILROAD

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FAQs about Jason Brett Lupow

What is the unique 10-digit identification code issued to Jason Brett Lupow by the Centers for Medicare & Medicaid Services?

The Jason Brett Lupow has been assigned the NPI (National Provider Identifier) 1417055674 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you share the physical location details of Jason Brett Lupow?

The Jason Brett Lupow is situated at 10 Mark Dr, in the city of Rye Brook, state of NY, with the zip code 105731411.

What is Jason Brett Lupow's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Jason Brett Lupow is General Practice, and the taxonomy code that categorizes this field of expertise is 208D00000X.

On what date was the 1417055674 assigned to Jason Brett Lupow?

The Jason Brett Lupow was issued its 1417055674 on 2006-09-20, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details related to Jason Brett Lupow most recently updated or revised?

The information pertaining to Jason Brett Lupow, including its address, specialty, and other relevant details, was last updated or revised on 2013-10-11.

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