Individual
DR. LISA DIANNE CUPIT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5 DEAUVILLE CT, NORTHPORT, NY 11768-2105
(631) 754-3714
Mailing address
5 DEAUVILLE CT, NORTHPORT, NY 11768-2105
(631) 754-3714
Taxonomy
Speciality
Code
Description
License number
State
207RH0000X
Hematology (Internal Medicine) Physician
Primary
60205687
NY
Other
Enumeration date
04/27/2011
Last updated
04/27/2011
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