Healthcare Provider Details

I. General information

NPI: 1750084653
Provider Name (Legal Business Name): JOHN KARPUK MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/22/2023
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

725 EAST ADAMS ST 4TH FL
SYRACUSE NY
13210
US

IV. Provider business mailing address

725 EAST ADAMS ST 4TH FL
SYRACUSE NY
13210
US

V. Phone/Fax

Practice location:
  • Phone: 315-492-5437
  • Fax: 315-464-2250
Mailing address:
  • Phone: 315-492-5437
  • Fax: 315-464-2250

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080P0204X
TaxonomyPediatric Emergency Medicine (Pediatrics) Physician
License Number342765
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: