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Contact Information

MARK J KUPERSMITH, MD
1000 10TH AVE
10TH FL RM INN
NEW YORK, NY10019-1147
 Phone: 212-636-3200
 Fax: 212-636-3195
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ophthalmology

207W00000X 18 Physician/Ophthalmology
 

Neurological Surgery

207T00000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for MARK J KUPERSMITH · (Male)

NPI Number 1922089655
Status Active
Credentials MD
Entity Individual
Enumeration date 11/09/2005
Last updated 01/15/2014 - About 12 years ago
Sole proprietor 1 Yes
Identifiers
  • NY License # 125274
  • NY License # 129274 1
  • NY Medicaid 01413625
Hospital affiliation(s)
  • MOUNT SINAI HOSPITAL - (Acute Care)
    ONE GUSTAVE L LEVY PLACE
    NEW YORK, NY 10029
  • NY EYE AND EAR INFIRMARY - (Acute Care)
    310 EAST 14TH STREET
    NEW YORK, NY 10003
  • ST LUKE'S ROOSEVELT HOSPITAL - (Acute Care)
    1111 AMSTERDAM AVENUE
    NEW YORK, NY 10025
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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