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
Fax: (212) 636-3195
Website:

Health care specialties

SpecialtyCodeLicense #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 10 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1922089655 NPPES
New York MEDICAID 01413625

Popular Providers