Provider Demographics
NPI:1306368600
Name:CRUPAR, TZIPPORAH LEAH (MA)
Entity Type:Individual
Prefix:MRS
First Name:TZIPPORAH
Middle Name:LEAH
Last Name:CRUPAR
Suffix:
Gender:F
Credentials:MA
Other - Prefix:MS
Other - First Name:TZIPPORAH
Other - Middle Name:LEAH
Other - Last Name:STEIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:10 HOMESTEAD LN
Mailing Address - Street 2:
Mailing Address - City:MONSEY
Mailing Address - State:NY
Mailing Address - Zip Code:10952-3026
Mailing Address - Country:US
Mailing Address - Phone:1845-422-1749
Mailing Address - Fax:
Practice Address - Street 1:10 HOMESTEAD LN
Practice Address - Street 2:
Practice Address - City:MONSEY
Practice Address - State:NY
Practice Address - Zip Code:10952-3026
Practice Address - Country:US
Practice Address - Phone:845-422-1749
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-07-09
Last Update Date:2017-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1146175171174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist