Provider Demographics
NPI:1932223427
Name:CZUPRYNSKI, KAREN M
Entity Type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:M
Last Name:CZUPRYNSKI
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 1:586 RESERVE RD
Mailing Address - Street 2:
Mailing Address - City:WEST SENECA
Mailing Address - State:NY
Mailing Address - Zip Code:14224-4206
Mailing Address - Country:US
Mailing Address - Phone:716-675-6036
Mailing Address - Fax:
Practice Address - Street 1:3745 S PARK AVE
Practice Address - Street 2:
Practice Address - City:BLASDELL
Practice Address - State:NY
Practice Address - Zip Code:14219-1801
Practice Address - Country:US
Practice Address - Phone:716-825-4688
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY28654183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist