Individual
ELENA KUPERSHMIDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2425 KINGS HWY APT B6, BROOKLYN, NY 11229-1629
(718) 338-9274
Mailing address
2425 KINGS HWY APT B6, BROOKLYN, NY 11229-1629
(718) 338-9274
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
010243
NY
Other
Enumeration date
04/20/2007
Last updated
11/14/2024
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