Individual
MARK J KUPERSMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1000 10TH AVE, 10TH FL RM INN, NEW YORK, NY 10019-1147
(212) 636-3200
(212) 636-3195
Mailing address
1000 10TH AVE, 10TH FLOOR RM INN, NEW YORK, NY 10019-1147
(212) 636-3200
(212) 636-3195
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
125274
NY
207W00000X
Ophthalmology Physician
Primary
129274 1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01413625
—
NY
Enumeration date
11/09/2005
Last updated
01/15/2014
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