Kupershtokh, Svetlana

Kupershtokh, Svetlana is an individual health care provider with primary practice located at 155 Crystal Run Rd , Middletown NY 10941-4028. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Nephrology. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Kupershtokh, Svetlana can be contacted via phone (845) 703-6999.

Contact Information

Primary practice address
155 Crystal Run Rd Middletown NY 10941-4028
Phone: (845) 703-6999
Fax: (845) 703-6297
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 260924 New York
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 260924 New York

Profile Details

NPI number 1376834846
LBN Legal business name Kupershtokh, Svetlana
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 2nd, 2011
Last updated Jul 20th, 2011 - about 14 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376834846 NPPES
New York MEDICAID 03335600

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