MEDICARE: MOSHE KUPFERSTEIN MEDICINE PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QU0200X	Urgent Care Clinic/Center

General Provider Information

NPI Number	:	1518551936
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MOSHE KUPFERSTEIN MEDICINE PC

Provider Business Mailing Address
First Line	:	4403 15TH AVE STE 349
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11219-1604
Country	:	US
Telephone Number	:	718-705-4096
Fax Number	:

Provider Business Practice Location Address
First Line	:	4809 14TH AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11219-3119
Country	:	US
Telephone Number	:	718-705-4096
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MOSHE KUPFERSTEIN
Credential	:	DO
Telephone Number	:	718-705-4096

Provider Enumeration Date	:	02/25/2021
Last Update Date	:	07/07/2022

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