Provider Demographics
NPI:1679898159
Name:KRUPINCZA, STEVEN JOHN (BS,MS)
Entity Type:Individual
Prefix:
First Name:STEVEN
Middle Name:JOHN
Last Name:KRUPINCZA
Suffix:
Gender:M
Credentials:BS,MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20 OVERLOOK RD
Mailing Address - Street 2:
Mailing Address - City:DOBBS FERRY
Mailing Address - State:NY
Mailing Address - Zip Code:10522-3210
Mailing Address - Country:US
Mailing Address - Phone:914-674-0186
Mailing Address - Fax:
Practice Address - Street 1:20 OVERLOOK RD.
Practice Address - Street 2:
Practice Address - City:DOBBS FERRY
Practice Address - State:NY
Practice Address - Zip Code:10522
Practice Address - Country:US
Practice Address - Phone:914-674-0186
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-29
Last Update Date:2010-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY029912-1183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist