Provider Demographics
NPI:1992815989
Name:KUPERSMITH, JULIE ELIZABETH EHRMAN (MD)
Entity type:Individual
Prefix:DR
First Name:JULIE
Middle Name:ELIZABETH EHRMAN
Last Name:KUPERSMITH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:77 QUAKER RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:NEW ROCHELLE
Mailing Address - State:NY
Mailing Address - Zip Code:10804-2808
Mailing Address - Country:US
Mailing Address - Phone:914-235-5171
Mailing Address - Fax:914-235-5174
Practice Address - Street 1:77 QUAKER RIDGE RD
Practice Address - Street 2:
Practice Address - City:NEW ROCHELLE
Practice Address - State:NY
Practice Address - Zip Code:10804-2808
Practice Address - Country:US
Practice Address - Phone:914-235-5171
Practice Address - Fax:914-235-5174
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-30
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY223202208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY223202-3WOtherWORKER'S COMPENSATION
NY223202-3WOtherWORKER'S COMPENSATION
NY1551F1Medicare ID - Type UnspecifiedMEDICARE