Provider Demographics
NPI:1275579930
Name:LAPUNZINA, CHARLES S (MD)
Entity Type:Individual
Prefix:DR
First Name:CHARLES
Middle Name:S
Last Name:LAPUNZINA
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:128 PROSPECT PARK SW
Mailing Address - Street 2:APT #2
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11218-1280
Mailing Address - Country:US
Mailing Address - Phone:718-836-0155
Mailing Address - Fax:718-836-0440
Practice Address - Street 1:6735 RIDGE BLVD
Practice Address - Street 2:SUITE 1C
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11220-5248
Practice Address - Country:US
Practice Address - Phone:718-836-0155
Practice Address - Fax:718-836-0155
Is Sole Proprietor?:No
Enumeration Date:2006-06-21
Last Update Date:2008-05-14
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY207351208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYH35669Medicare UPIN
5008E1Medicare ID - Type Unspecified