Provider Demographics
NPI:1558897264
Name:HADASSAH KUPFER, DOCTOR OF AUDIOLOGY
Entity Type:Organization
Organization Name:HADASSAH KUPFER, DOCTOR OF AUDIOLOGY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUDIOLOGIST/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:HADASSAH
Authorized Official - Middle Name:M
Authorized Official - Last Name:KUPFER
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:917-791-1510
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
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-02
Last Update Date:2021-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY14000045377237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Single Specialty