Individual
ALISON SCHUPPERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1835 FAIRPORT NINE MILE POINT RD STE 100, PENFIELD, NY 14526-1903
(585) 758-0777
(585) 388-9079
Mailing address
1835 FAIRPORT NINE MILE POINT RD STE 100, PENFIELD, NY 14526-1903
(585) 758-0777
(585) 388-9079
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
305668
NY
363AM0700X
Medical Physician Assistant
305668
NY
Other
Enumeration date
04/24/2018
Last updated
07/07/2023
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