Individual
JUDITH KNAUPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNS
Contact information
Practice address
225 COMMUNITY DR, SUITE 110, GREAT NECK, NY 11021-5503
(516) 918-4390
(516) 918-4387
Mailing address
225 COMMUNITY DR, SUITE 110, GREAT NECK, NY 11021-5503
(516) 918-4390
(516) 918-4387
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
370262
NY
Other
Enumeration date
04/29/2015
Last updated
04/29/2015
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