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Individual

RICHARD ZUPCAK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
15211 89TH AVE, JAMAICA, NY 11432-3730
(718) 558-2275
Mailing address
15211 89TH AVE, JAMAICA, NY 11432-3730

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
155952
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01274840
NY
Enumeration date
03/07/2007
Last updated
07/08/2007
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