TARA L KUPECKI, MS, Specialist LAUREL, NY

Contact Information

TARA L KUPECKI, MS

495 FRANKLINVILLE RD.
LAUREL, NY 11948

Phone: 631-315-7173
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Specialist	174400000X

Indicates primary specialty

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NPI Profile & details for TARA L KUPECKI · (Female)

NPI #	`1407576432`
Status	Active
Credentials	MS
Entity	Individual
Enumeration date	08/30/2022
Last updated	08/30/2022 - About 4 years ago
Sole proprietor ¹	Yes
Identifiers	Not Available
Hospital affiliation(s)	Not Available

¹ A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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