Schupak, Robert Charles

Schupak, Robert Charles is an individual health care provider with primary practice located at 210 Westchester Ave , White Plains NY 10604-2901. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Schupak, Robert Charles can be contacted via phone (914) 682-6511.

Contact Information

Primary practice address
210 Westchester Ave White Plains NY 10604-2901
Phone: (914) 682-6511
Fax: (914) 682-4603
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 001645-1 New York

Profile Details

NPI number 1770562118
LBN Legal business name Schupak, Robert Charles
Credentials RPA-C
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 13th, 2006
Last updated Oct 15th, 2013 - about 11 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 1770562118 NPPES
New York MEDICAID 02041427
New York Other 133884168

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