Provider Demographics
NPI:1063710788
Name:KUPER, SILVIA (PT)
Entity type:Individual
Prefix:
First Name:SILVIA
Middle Name:
Last Name:KUPER
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:890 W END AVE
Mailing Address - Street 2:APT 7A
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10025-3526
Mailing Address - Country:US
Mailing Address - Phone:917-975-8785
Mailing Address - Fax:
Practice Address - Street 1:890 W END AVE
Practice Address - Street 2:APT 7A
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10025-3526
Practice Address - Country:US
Practice Address - Phone:917-975-8785
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-03
Last Update Date:2011-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY007496-1225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist