Provider Demographics
NPI:1164915484
Name:DUPUY, KEAIRA C (MD)
Entity type:Individual
Prefix:DR
First Name:KEAIRA
Middle Name:C
Last Name:DUPUY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:48 SKYLINE DR
Mailing Address - Street 2:
Mailing Address - City:CORAM
Mailing Address - State:NY
Mailing Address - Zip Code:11727-3630
Mailing Address - Country:US
Mailing Address - Phone:631-942-5929
Mailing Address - Fax:516-542-5556
Practice Address - Street 1:101 NICOLLS RD
Practice Address - Street 2:
Practice Address - City:STONY BROOK
Practice Address - State:NY
Practice Address - Zip Code:11794-2324
Practice Address - Country:US
Practice Address - Phone:631-963-6795
Practice Address - Fax:631-471-1000
Is Sole Proprietor?:No
Enumeration Date:2018-06-12
Last Update Date:2024-04-29
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY311872207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine