Provider Demographics
NPI:1780751016
Name:KNAUPP, WILLIAM F (MD)
Entity type:Individual
Prefix:
First Name:WILLIAM
Middle Name:F
Last Name:KNAUPP
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:120 NEW YORK AVE
Mailing Address - Street 2:SUITE 6W
Mailing Address - City:HUNTINGTON
Mailing Address - State:NY
Mailing Address - Zip Code:11743
Mailing Address - Country:US
Mailing Address - Phone:631-351-1144
Mailing Address - Fax:631-351-1143
Practice Address - Street 1:120 NEW YORK AVE
Practice Address - Street 2:SUITE 6W
Practice Address - City:HUNTINGTON
Practice Address - State:NY
Practice Address - Zip Code:11743
Practice Address - Country:US
Practice Address - Phone:631-351-1144
Practice Address - Fax:631-351-1143
Is Sole Proprietor?:No
Enumeration Date:2006-11-30
Last Update Date:2012-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY164287-1207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01239409Medicaid
NY80F4910Medicare ID - Type Unspecified
E87566Medicare UPIN
WEM401Medicare ID - Type UnspecifiedMEDICARE GROUP