Individual
DR. LEE MATTHEW KUPERSMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
205 FROEHLICH FARM BLVD, WOODBURY, NY 11797-2931
(516) 364-0070
(516) 364-0242
Mailing address
205 FROEHLICH FARM BLVD, WOODBURY, NY 11797-2931
(516) 364-0070
(516) 364-0242
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
2118221
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0711521002
CIGNA HEALTH
NY
01
—
113329150
EMPIRE
NY
01
—
200029878
RR-MEDICARE
NY
01
—
4C5675
HEALTHNET
NY
01
—
508G81
BLUE CROSS BLUE SHEILD
NY
01
—
596988
596988
NY
01
—
64383
VYTRA
NY
01
—
O598917
GHI
NY
01
—
P2882387
OXFORD
NY
Enumeration date
09/26/2006
Last updated
11/13/2013
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