Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207SG0201X | Clinical Genetics (M.D.) | 176882 | NY |
NPI | 1770578098 |
---|---|
Provider Name | Mr. Simon Gabriel Kupchik |
First Address | Brooklyn, NY 11219 |
Second Address | Brooklyn, NY 11219 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/09/2005 |
Last Update Date | 13/02/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01283861 | (05) | NY |
113491197 | HORIZON HEALTHCARE NY (01) | NY |
113491197 | MULTIPLAN (01) | NY |
113491197 | PHCS (01) | NY |
1491411 | UNITED HEALTH CARE (01) | NY |
176882 | HIP (01) | NY |
176882-B15 | HEALTH FIRST (01) | NY |
1B0001 | EMPIRE BCBS (01) | NY |
2423247 | AETNA USHC HMO (01) | NY |
258990201 | HEALTH PLUS (01) | NY |
2601597 | GHI (01) | NY |
4609674 | AETNA PPO (01) | NY |
4C0555 | HEALTH NET (01) | NY |
68N0081 | NEIGHBORHOOD HEALTH (01) | NY |
BK00818-02 | AMERICHOICE (01) | NY |
F27936 | (02) | NY |
KG6882 | ATLANTIS HEALTH PLAN (01) | NY |
P2103443 | OXFORD HEALTH PLANS (01) | NY |