Individual
MR. SIMON GABRIEL KUPCHIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
948 48TH STREET, BROOKLYN, NY 11219
(718) 283-8260
(718) 283-6147
Mailing address
977 48TH STREET, BROOKLYN, NY 11219
(718) 283-7229
(718) 635-6331
Taxonomy
Speciality
Code
Description
License number
State
207SG0201X
Clinical Genetics (M.D.) Physician
Primary
176882
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01283861
—
NY
01
—
113491197
MULTIPLAN
NY
01
—
1491411
UNITED HEALTH CARE
NY
01
—
176882
HIP
NY
01
—
176882-B15
HEALTH FIRST
NY
01
—
1B0001
EMPIRE BCBS
NY
01
—
2423247
AETNA USHC HMO
NY
01
—
258990201
HEALTH PLUS
NY
01
—
2601597
GHI
NY
01
—
4609674
AETNA PPO
NY
01
—
4C0555
HEALTH NET
NY
01
—
68N0081
NEIGHBORHOOD HEALTH
NY
01
—
BK00818-02
AMERICHOICE
NY
01
—
KG6882
ATLANTIS HEALTH PLAN
NY
01
—
P2103443
OXFORD HEALTH PLANS
NY
Enumeration date
09/13/2005
Last updated
02/13/2014
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