NPI 1902057656

Michael Jason Crupain, MD

Practitioner General Practice Physician Tarrytown, NY

Practice location

Address: 416 Benedict Ave APT 1c, Tarrytown, NY 10591-4907
Phone: (646) 279-5087

Registered specialties

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X Licence 250575 (NY)

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Registry record

NPI: 1902057656
Entity type: Individual
Sex (as registered): Male
NPI issued: 30 Sep 2008
Record last updated: 30 Sep 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.