Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YX0007X | Plastic Surgeon (Head & Neck) | 162483 | NY |
NPI | 1851363055 |
---|---|
Provider Name | Jeff D Kopelman |
First Address | Rockville Ctre, NY 11570 |
Second Address | Rockville Ctre, NY 11570 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/02/2006 |
Last Update Date | 16/03/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0059669 | GHI (01) | |
113616761 | MAGNA (01) | |
113616761 | MULTEP (01) | |
113616761 | ONE (01) | |
113616761 | PHCS (01) | |
1308635 | FRT HLTH (01) | |
22597 | VTRA (01) | |
28679P | HIP (01) | |
3C1114 | HLTHNT (01) | |
4231401 | AETNA (01) | |
9347407002 | CIGNA (01) | |
A61481 | (02) | |
AS626 | OXF (01) |