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1184268690
RICHARD A LUPO
OCEANSIDE, NY
NPI
1184268690
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 024356)
Enumeration Date
2019-10-29
Last Update Date
2019-10-29
Business Address
RICHARD A LUPO
1 HEALTHY WAY
OCEANSIDE, NY 11572-1551
Phone number: 877-768-8462
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Mailing Address
RICHARD A LUPO
19 PARK CIR
NESCONSET, NY 11767-3024
Phone number: 631-766-6875
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