| Shlomo Kuperman Md Pllc | |
|
199 Community Dr Great Neck NY 11021-5502 | |
| (631) 271-9151 | |
| (631) 271-9155 |
| Full Name | Shlomo Kuperman Md Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 199 Community Dr, Great Neck, New York |
| Authorized Official Name and Position | Shlomo Kuperman (OWNER) |
| Authorized Official Contact | 6312719151 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Shlomo Kuperman Md Pllc P.o. Box 1213 Melville NY 11747-2732 Ph: (631) 271-9151 | Shlomo Kuperman Md Pllc 199 Community Dr Great Neck NY 11021-5502 Ph: (631) 271-9151 |
| NPI Number | 1346013331 |
|---|---|
| Provider Enumeration Date | 11/01/2023 |
| Last Update Date | 11/01/2023 |
| Medicare PECOS PAC ID | 5597116509 |
|---|---|
| Medicare Enrollment ID | O20240103004174 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346013331 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Shlomo Kuperman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770958860 PECOS PAC ID: 0648566166 Enrollment ID: I20160909001541 |
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