Healthcare Provider Details

I. General information

NPI: 1205201704
Provider Name (Legal Business Name): HADASSAH M KUPFER AU.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: HADASSAH M NOROWITZ AU.D.

II. Dates (important events)

Enumeration Date: 12/09/2015
Last Update Date: 10/06/2021
Certification Date: 10/06/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

38 BERGEN BEACH PL
BROOKLYN NY
11234-5743
US

IV. Provider business mailing address

38 BERGEN BEACH PL
BROOKLYN NY
11234-5743
US

V. Phone/Fax

Practice location:
  • Phone: 917-791-1510
  • Fax: 646-766-9982
Mailing address:
  • Phone: 917-791-1510
  • Fax: 646-766-9982

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License Number14000045377
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number002604-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: