Kupersmith, Mark J
Kupersmith, Mark J is an sole proprietor health care provider with primary practice located at 1000 10Th Ave 10Th Fl Rm Inn, New York NY 10019-1147. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmology, Allopathic & Osteopathic Physicians / Neurological Surgery. Allopathic & Osteopathic Physicians / Ophthalmology is his primary health care specialty. Kupersmith, Mark J can be contacted via phone (212) 636-3200.Contact Information
Primary practice address
1000 10Th Ave 10Th Fl Rm Inn
New York NY 10019-1147
Phone: (212) 636-3200
Fax: (212) 636-3195
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 129274 1 | New York |
| Allopathic & Osteopathic Physicians / Neurological Surgery | 207T00000X | 125274 | New York |
Profile Details
| NPI number | 1922089655 |
|---|---|
| LBN Legal business name | Kupersmith, Mark J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 9th, 2005 |
| Last updated | Jan 15th, 2014 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1922089655 | NPPES |
| New York | MEDICAID | 01413625 |
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