Individual
DIANA KUPCHENKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2020 CONEY ISLAND AVE, BROOKLYN, NY 11223-2329
(718) 676-4280
Mailing address
2930 W 5TH ST APT 22E, BROOKLYN, NY 11224-4832
(718) 809-3085
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
608411
NY
Other
Enumeration date
10/28/2020
Last updated
10/28/2020
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