Individual
DR. SAMUEL SAUL KUPIETZ
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PH.D
Contact information
Practice address
431 WEAVER ST, LARCHMONT, NY 10538-1301
(914) 833-2949
(914) 833-2949
Mailing address
431 WEAVER ST, LARCHMONT, NY 10538-1301
(914) 833-2949
(914) 833-2949
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
4054
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00390941
—
NY
Enumeration date
10/13/2005
Last updated
07/09/2007
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