DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. JASON BRETT LUPOW, M.D.

Active Sole Proprietor

DR. JASON BRETT LUPOW, M.D. is a General Practice healthcare provider located in MAMARONECK, New York. NPI 1417055674 is currently active in the NPPES registry. Verify at CMS.

General Practice · MAMARONECK, NY

Registration Details

NPI Number
1417055674
Provider Type
Individual
Gender
Male
NPI Issued
Sep 20, 2006 (19.921996430431 yrs)
Last Updated
Oct 11, 2013
Licenses
25MA08061900 (NJ)
237641 (NY)
237641 (NY)
Sole Proprietor
Yes

Practice Information

Address
1030 W BOSTON POST RD
MAMARONECK, NY, 105433328
Browse NY providers · Browse ZIP 10543
Phone
9147772273
Primary Specialty
General Practice
208D00000X
Additional Specialty
Emergency Medicine
Additional Specialty
General Practice

Other General Practice Providers in MAMARONECK, NY

Name Credential NPI
ABRAHAM MIZRAHI MD 1821432147
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.