Provider Demographics
NPI:1881634954
Name:LUPIANO, JOHN D (MD)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:D
Last Name:LUPIANO
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:500 W 43RD ST
Mailing Address - Street 2:APT 40-E
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10036-4327
Mailing Address - Country:US
Mailing Address - Phone:212-330-0609
Mailing Address - Fax:212-688-2413
Practice Address - Street 1:57 W 57TH ST
Practice Address - Street 2:SUITE 908
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10019-2802
Practice Address - Country:US
Practice Address - Phone:212-755-0200
Practice Address - Fax:212-688-2413
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-07
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY164659207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01075236Medicaid
NY01075236Medicaid
NYE04042Medicare UPIN