Healthcare Provider Details

I. General information

NPI: 1598812430
Provider Name (Legal Business Name): TEMIMA KUPFER LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/04/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

887 E NEW YORK AVE
BROOKLYN NY
11203-1309
US

IV. Provider business mailing address

1620 AVENUE I 101
BROOKLYN NY
11230-3050
US

V. Phone/Fax

Practice location:
  • Phone: 718-778-0485
  • Fax: 718-778-1375
Mailing address:
  • Phone: 718-778-0485
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberNONE
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: