Provider Demographics
NPI:1750371548
Name:CUPELO, ROBERT C (MD)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:C
Last Name:CUPELO
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:5823 WIDEWATERS PKWY
Mailing Address - Street 2:
Mailing Address - City:EAST SYRACUSE
Mailing Address - State:NY
Mailing Address - Zip Code:13057-3071
Mailing Address - Country:US
Mailing Address - Phone:315-449-4028
Mailing Address - Fax:315-449-2341
Practice Address - Street 1:5823 WIDEWATERS PKWY
Practice Address - Street 2:
Practice Address - City:EAST SYRACUSE
Practice Address - State:NY
Practice Address - Zip Code:13057-3071
Practice Address - Country:US
Practice Address - Phone:315-449-4028
Practice Address - Fax:315-449-2341
Is Sole Proprietor?:No
Enumeration Date:2005-10-24
Last Update Date:2011-05-11
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY156924207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine