Provider Demographics
NPI:1477622413
Name:KUPFERMAN, LLOYD H (DC)
Entity Type:Individual
Prefix:DR
First Name:LLOYD
Middle Name:H
Last Name:KUPFERMAN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:70 DIVISION AVE
Mailing Address - Street 2:
Mailing Address - City:LEVITTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:11756-2941
Mailing Address - Country:US
Mailing Address - Phone:516-796-4800
Mailing Address - Fax:516-796-3696
Practice Address - Street 1:70 DIVISION AVE
Practice Address - Street 2:
Practice Address - City:LEVITTOWN
Practice Address - State:NY
Practice Address - Zip Code:11756-2941
Practice Address - Country:US
Practice Address - Phone:516-796-4800
Practice Address - Fax:516-796-3696
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-06
Last Update Date:2014-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX3086111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
T52547Medicare UPIN
X20641Medicare ID - Type Unspecified