Individual
DR. PAUL KUPERSCHMID
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6 OHIO DR, SUITE 201, LAKE SUCCESS, NY 11042-1129
(516) 328-8700
(516) 328-8779
Mailing address
6 OHIO DR, SUITE 201, LAKE SUCCESS, NY 11042-1129
(516) 328-8700
(516) 328-8779
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
179940
NY
207RP1001X
Pulmonary Disease Physician
Primary
179940
NY
Other
Enumeration date
01/30/2006
Last updated
02/01/2021
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