Provider Demographics
NPI:1205201704
Name:KUPFER, HADASSAH M (AUD)
Entity Type:Individual
Prefix:
First Name:HADASSAH
Middle Name:M
Last Name:KUPFER
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:HADASSAH
Other - Middle Name:M
Other - Last Name:NOROWITZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:AUD
Mailing Address - Street 1:38 BERGEN BEACH PL
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11234-5743
Mailing Address - Country:US
Mailing Address - Phone:917-791-1510
Mailing Address - Fax:646-766-9982
Practice Address - Street 1:38 BERGEN BEACH PL
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11234-5743
Practice Address - Country:US
Practice Address - Phone:917-791-1510
Practice Address - Fax:646-766-9982
Is Sole Proprietor?:Yes
Enumeration Date:2015-12-09
Last Update Date:2021-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY14000045377237600000X
NY002604-1231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY04405354Medicaid