Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207PP0204X | Pediatric Emergency Physician | 214128 | NY |
N | 208000000X | Pediatrician | 214128 | NY |
N | 2080P0204X | Pediatric Emergency Doctor | 214128 | NY |
NPI | 1437249604 |
---|---|
Provider Name | Marie Lupica |
First Address | New York, NY 10021-4870 |
Second Address | New York, NY 10021-4870 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/10/2006 |
Last Update Date | 08/07/2007 |