Healthcare Provider Details

I. General information

NPI: 1407804941
Provider Name (Legal Business Name): ERIN DUPREE M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/05/2006
Last Update Date: 12/27/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1176 5TH AVE E LEVEL
NEW YORK NY
10029-6503
US

IV. Provider business mailing address

5 E 98TH ST 2ND FLOOR, BOX 1174
NEW YORK NY
10029-6501
US

V. Phone/Fax

Practice location:
  • Phone: 212-659-8557
  • Fax:
Mailing address:
  • Phone: 212-241-6874
  • Fax: 212-241-3833

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License Number206059-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: