Healthcare Provider Details

I. General information

NPI: 1285930271
Provider Name (Legal Business Name): HANNAH A KUPCHIK OTR
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/08/2011
Last Update Date: 02/08/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

826 BRADLEY ST
WEST HEMPSTEAD NY
11552-3610
US

IV. Provider business mailing address

826 BRADLEY ST
WEST HEMPSTEAD NY
11552-3610
US

V. Phone/Fax

Practice location:
  • Phone: 516-505-0901
  • Fax:
Mailing address:
  • Phone: 516-505-0901
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: