Individual
DR. ANNELISE MARIE LUPICA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3985 BROADWAY, NEW YORK, NY 10032
(917) 305-6059
Mailing address
229 W 116TH ST APT 5A, NEW YORK, NY 10026-2799
(818) 720-9655
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
300156
NY
208000000X
Pediatrics Physician
A168984
CA
Other
Enumeration date
06/09/2016
Last updated
03/23/2024
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