Provider Demographics
NPI:1609037266
Name:KUPFERMAN, ROBERT PAUL (LCSW)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:PAUL
Last Name:KUPFERMAN
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:210 W 80TH ST
Mailing Address - Street 2:APT 2RE
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10024-7014
Mailing Address - Country:US
Mailing Address - Phone:917-517-2447
Mailing Address - Fax:
Practice Address - Street 1:210 W 80TH ST
Practice Address - Street 2:APT 2RE
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10024-7014
Practice Address - Country:US
Practice Address - Phone:917-517-2447
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-17
Last Update Date:2020-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR0555081041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical