William K. Kopp
Oral & Maxillofacial Surgeon
79 01 Broadway Room A1-9
Elmhurst
, New York 11373-1329
William K. Kopp
Oral & Maxillofacial Surgeon
79 01 Broadway Room A1-9
Elmhurst
, New York 11373-1329
(718) 334-4815
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About
Features
Specialties
- Oral & Maxillofacial Surgeon
Languages spoken
- English
Location
First Address
- William K. Kopp
- 79 01 Broadway Room A1-9
- Elmhurst, NY
- Zip : 11373-1329
- Fax : (718) 334-4815
- Phone : (718) 334-4952
Second Address
- William K. Kopp
- 79 01 Broadway Room A1-9
- Elmhurst, NY
- Zip : 11373-1329
- Fax : (718) 334-4815
- Phone : (718) 334-4952
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 204E00000X | Oral & Maxillofacial Surgeon | 024056 | NY |
National Provider Identifier
| NPI | 1518994268 |
|---|---|
| Provider Name | William K. Kopp |
| First Address | Elmhurst, NY 11373-1329 |
| Second Address | Elmhurst, NY 11373-1329 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/06/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 00287458 | (05) | NY |
| T85052 | (02) | NY |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.