Provider Demographics
NPI:1134482888
Name:KUPERMAN, HANNAH CHANI (MA, ED, INS/CUR)
Entity Type:Individual
Prefix:
First Name:HANNAH
Middle Name:CHANI
Last Name:KUPERMAN
Suffix:
Gender:F
Credentials:MA, ED, INS/CUR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2052 E 28TH ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11229-5048
Mailing Address - Country:US
Mailing Address - Phone:201-960-1311
Mailing Address - Fax:
Practice Address - Street 1:2052 E 28TH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11229-5048
Practice Address - Country:US
Practice Address - Phone:201-960-1311
Practice Address - Fax:718-934-3894
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-18
Last Update Date:2012-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY845613174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist