National Provider Identifier

Patrick Charles Schloupt Jr.

Patrick Charles Schloupt Jr. is listed in the NPPES registry with a primary specialty of Specialist in Ithaca, NY and a listed phone number of (607) 272-5891.

NPI 1730442963Ithaca, NYSpecialist

Profile Overview

NPI
1730442963
Provider Type
Individual
Primary Specialty
Specialist
Enumeration Date
June 22, 2012
Last Updated
June 22, 2012

Practice Location

  • 3226 Wilkins RD
  • Ithaca, NY 14850-9568

Phone: (607) 272-5891

Specialties

  • Specialist (174400000X)
Full Record
NPI
1730442963
Entity Type
Individual
Last Name
Schloupt
First Name
Patrick
Middle Name
Charles
Name Prefix
Mr.
Name Suffix
Jr.
Mailing Street Address
3226 Wilkins RD
Mailing City
Ithaca
Mailing State
NY
Mailing ZIP Code
14850-9568
Mailing Country
US
Mailing Phone
(607) 272-5891
Mailing Fax
(607) 272-0188
Practice Street Address
3226 Wilkins RD
Practice City
Ithaca
Practice State
NY
Practice ZIP Code
14850-9568
Practice Country
US
Practice Phone
(607) 272-5891
Practice Fax
(607) 272-0188
Enumeration Date
June 22, 2012
Last Updated
June 22, 2012
Sex
Male
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Specialist (174400000X)