Martin Joseph Lupo
Physical Therapy Assistant
141 Mark Tree Rd
Centereach
, New York 11720-2221
Martin Joseph Lupo
Physical Therapy Assistant
141 Mark Tree Rd
Centereach
, New York 11720-2221
(631) 467-2655
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About
Features
Specialties
- Physical Therapy Assistant
Languages spoken
- English
Location
First Address
- Martin Joseph Lupo
- 9 Walnut St
- Centereach, NY
- Zip : 11720-1725
- Fax : (631) 467-2655
- Phone : (631) 467-4235
Second Address
- Martin Joseph Lupo
- 141 Mark Tree Rd
- Centereach, NY
- Zip : 11720-2221
- Fax : (631) 467-2655
- Phone : (631) 467-4235
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225200000X | Physical Therapy Assistant | 006327-1 | NY |
National Provider Identifier
| NPI | 1013997394 |
|---|---|
| Provider Name | Martin Joseph Lupo |
| First Address | Centereach, NY 11720-1725 |
| Second Address | Centereach, NY 11720-2221 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 20/01/2006 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.