Individual provider · Type 1 NPI
Tara Lynn Kupecki, MS
Specialist · Laurel, NY
NPI number
1407576432
Active
Practice location
495 Franklinville Rd.
Laurel, NY 11948
Mailing address
1400 Stanley Rd
Mattituck, NY 11952-2780
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | None listed |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
About NPI 1407576432
Tara Lynn Kupecki, MS's National Provider Identifier is 1407576432, issued on Aug 30, 2022. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Laurel, NY. The record was last updated on Aug 30, 2022.