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1013997394
MARTIN JOSEPH LUPO
CENTEREACH, NY
NPI
1013997394
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: NY 006327-1)
Enumeration Date
2006-01-20
Last Update Date
2007-07-08
Business Address
MARTIN JOSEPH LUPO PTA
141 MARK TREE RD
CENTEREACH, NY 11720-2221
Phone number: 631-467-4235
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Mailing Address
MARTIN JOSEPH LUPO PTA
9 WALNUT ST
CENTEREACH, NY 11720-1725
Phone number: 631-467-4235
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