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

TaxonomyCodeLicense
Specialist Primary 174400000XNone 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.