Kupietz, Samuel Saul

Kupietz, Samuel Saul is an individual health care provider with primary practice located at 431 Weaver St , Larchmont NY 10538-1301. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Kupietz, Samuel Saul can be contacted via phone (914) 833-2949.

Contact Information

Primary practice address
431 Weaver St Larchmont NY 10538-1301
Fax: (914) 833-2949
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 4054 New York

Profile Details

NPI number 1508854480
LBN Legal business name Kupietz, Samuel Saul
Credentials PH.D
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 13th, 2005
Last updated Jul 9th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508854480 NPPES
New York MEDICAID 00390941

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