Individual
MICHAEL A KUPIEC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
736 IRVING AVE, SYRACUSE, NY 13210-1687
(315) 470-7411
(315) 470-2693
Mailing address
1001 W FAYETTE ST, SUITE 400, SYRACUSE, NY 13204-2859
(315) 472-1488
(315) 472-8060
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F300194
NY
363LF0000X
Family Nurse Practitioner
F330445
NY
Other
Enumeration date
07/01/2005
Last updated
06/12/2008
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