Provider Demographics
NPI:1073062493
Name:KUPERMAN, KATERINA
Entity Type:Individual
Prefix:
First Name:KATERINA
Middle Name:
Last Name:KUPERMAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2818 W 8TH ST
Mailing Address - Street 2:APT 4-J
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11224-3359
Mailing Address - Country:US
Mailing Address - Phone:646-641-2067
Mailing Address - Fax:
Practice Address - Street 1:3133 BRIGHTON 7TH ST
Practice Address - Street 2:APT 2-G
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11235-6565
Practice Address - Country:US
Practice Address - Phone:646-641-2067
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-27
Last Update Date:2016-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator