Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Annelise Marie Lupica, MD

Individual provider Pediatrics Physician · NPI 1790134880

Dr. Annelise Marie Lupica, MD is a Pediatrics Physician in New York, New York. Licensed in California and New York. Registered with an NPI since 2016.

Licensed in
CA, NY
In the registry since
2016
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3985 Broadway
New York, NY 10032
Phone: (917) 305-6059
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 300156 (NY)
Pediatrics Physician Taxonomy 208000000X · Licence A168984 (CA)

Record details

NPI number1790134880
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 9, 2016
Last updated in NPPESMarch 23, 2024
Certification dateMarch 23, 2024

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