Provider Demographics
NPI:1962426650
Name:LUPIANI, DONALD ANTHONY (PHD)
Entity type:Individual
Prefix:DR
First Name:DONALD
Middle Name:ANTHONY
Last Name:LUPIANI
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:227 MILE SQUARE RD
Mailing Address - Street 2:
Mailing Address - City:YONKERS
Mailing Address - State:NY
Mailing Address - Zip Code:10701-5369
Mailing Address - Country:US
Mailing Address - Phone:914-423-3371
Mailing Address - Fax:914-423-4576
Practice Address - Street 1:227 MILE SQUARE RD
Practice Address - Street 2:
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10701-5369
Practice Address - Country:US
Practice Address - Phone:914-423-3371
Practice Address - Fax:914-423-4576
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY4772103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00757699Medicaid
NY00757699Medicaid