Individual
DEBORA KUPERSMID
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D. C.D.N
Contact information
Practice address
1065 SOUTHERN BLVD, BRONX, NY 10459-2417
(718) 589-2440
Mailing address
1065 SOUTHERN BLVD, BRONX, NY 10459-2417
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
007978
NY
Other
Enumeration date
01/14/2014
Last updated
01/21/2014
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