Individual
EILEEN LUPPENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1948 STUYVESANT AVE, EAST MEADOW, NY 11554-4049
(516) 385-4847
Mailing address
1948 STUYVESANT AVE, EAST MEADOW, NY 11554-4049
(516) 385-4847
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
688671
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
EJ70325P
HEALTH FIRST
NY
Enumeration date
07/06/2016
Last updated
07/06/2016
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