MARTIN JOSEPH LUPO

CENTEREACH, NY
NPI1013997394
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: NY  006327-1)
Enumeration Date2006-01-20
Last Update Date2007-07-08
Business Address
-- MARTIN JOSEPH LUPO PTA
141 MARK TREE RD
CENTEREACH, NY 11720-2221
Phone number: 631-467-4235
Mailing Address
-- MARTIN JOSEPH LUPO PTA
9 WALNUT ST
CENTEREACH, NY 11720-1725
Phone number: 631-467-4235