Provider Demographics
NPI:1922101070
Name:COUPET, NADEGE MARIE
Entity Type:Individual
Prefix:MS
First Name:NADEGE
Middle Name:MARIE
Last Name:COUPET
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:314 W 14TH ST
Mailing Address - Street 2:1ST FL
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10014-5002
Mailing Address - Country:US
Mailing Address - Phone:646-481-2687
Mailing Address - Fax:646-638-1842
Practice Address - Street 1:314 W 14TH ST
Practice Address - Street 2:1ST FL
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10014-5002
Practice Address - Country:US
Practice Address - Phone:646-481-2687
Practice Address - Fax:646-638-1842
Is Sole Proprietor?:No
Enumeration Date:2006-09-06
Last Update Date:2011-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2070031207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02202486Medicaid
H53312Medicare UPIN
NY032A01Medicare ID - Type Unspecified