Individual
PAUL GEORGE KUPICHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
601 ELMWOOD AVE, BOX #655, ROCHESTER, NY 14642-0001
(585) 275-4707
Mailing address
UNIVERSITY OF ROCHESTER MEDICAL CTR, 601 ELMWOOD AVE, ROCHESTER, NY 14642-0001
Taxonomy
Speciality
Code
Description
License number
State
2086S0120X
Pediatric Surgery Physician
382538
NY
363LP0200X
Pediatric Nurse Practitioner
Primary
382538
NY
Other
Enumeration date
06/02/2015
Last updated
06/28/2023
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