Individual provider · Type 1 NPI
Jason Brett Lupow, MD
General Practice Physician · Mamaroneck, NY
NPI number
1417055674
Active
Practice location
1030 W Boston Post Rd
Mamaroneck, NY 10543-3328
Mailing address
10 Mark Dr
Rye Brook, NY 10573-1411
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Emergency Medicine Physician | 207P00000X | 25MA08061900 (NJ) |
| Emergency Medicine Physician | 207P00000X | 237641 (NY) |
| General Practice Physician Primary | 208D00000X | 237641 (NY) |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
2 other providers at this address
Other general practice physician providers in Mamaroneck
About NPI 1417055674
Jason Brett Lupow, MD's National Provider Identifier is 1417055674, issued on Sep 20, 2006. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Mamaroneck, NY. The record was last updated on Oct 11, 2013.