National Provider Identifier

Giuliano Riccardo Pupo, PA-C

Giuliano Riccardo Pupo, PA-C is listed in the NPPES registry with a primary specialty of Physician Assistant in Lewiston, NY and a listed phone number of (716) 297-1701.

NPI 1083309397Lewiston, NYPhysician Assistant

Profile Overview

NPI
1083309397
Provider Type
Individual
Primary Specialty
Physician Assistant
Enumeration Date
April 11, 2023
Last Updated
April 11, 2023

Practice Location

  • 5320 Military RD
  • Lewiston, NY 14092-2149

Phone: (716) 297-1701

Mailing Address

  • 7290 Erica Ln
  • North Tonawanda, NY 14120-4901

Specialties

  • Physician Assistant (363A00000X)
Full Record
NPI
1083309397
Entity Type
Individual
Last Name
Pupo
First Name
Giuliano
Middle Name
Riccardo
Credential
PA-C
Mailing Street Address
7290 Erica Ln
Mailing City
North Tonawanda
Mailing State
NY
Mailing ZIP Code
14120-4901
Mailing Country
US
Mailing Phone
(716) 909-7625
Practice Street Address
5320 Military RD
Practice City
Lewiston
Practice State
NY
Practice ZIP Code
14092-2149
Practice Country
US
Practice Phone
(716) 297-1701
Enumeration Date
April 11, 2023
Last Updated
April 11, 2023
Sex
Male
Sole Proprietor
No
Certification Date
April 11, 2023
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Physician Assistant (363A00000X)