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Individual
MR. DAVID KOOPERMAN
Active
Individual
MR. DAVID KOOPERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
PR018186-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01482080
—
NY
01
—
028320
VALUE
NY
01
—
101383000
MBC
NY
01
—
107541
TRICARE
NY
01
—
117344
BHN
NY
01
—
1P095314
MAGELLEN
NY
01
—
4380478
AETNA
NY
01
—
7403612
GHI
NY
Enumeration date
07/27/2006
Last updated
02/03/2021
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