Provider Demographics
NPI:1477309466
Name:RUPINSKI, ROSELY
Entity type:Individual
Prefix:
First Name:ROSELY
Middle Name:
Last Name:RUPINSKI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:140 OLD COUNTRY RD APT 335
Mailing Address - Street 2:
Mailing Address - City:MINEOLA
Mailing Address - State:NY
Mailing Address - Zip Code:11501-4331
Mailing Address - Country:US
Mailing Address - Phone:508-789-1999
Mailing Address - Fax:
Practice Address - Street 1:140 OLD COUNTRY RD APT 335
Practice Address - Street 2:
Practice Address - City:MINEOLA
Practice Address - State:NY
Practice Address - Zip Code:11501-4331
Practice Address - Country:US
Practice Address - Phone:508-789-1999
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-29
Last Update Date:2024-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZE0600XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherElectroneurodiagnostic