# QUEENS-NASSAU MEDICAL ASSOCIATES PC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417354929
- **Authorized official:** DR. JAMES N KOPPEL MD (PRESIDENT)
- **Authorized official phone:** (516) 678-4725

## Contact information

- **Practice address:** 2001 MARCUS AVE, SUITE W260, NEW HYDE PARK, NY 11042-2061
- **Practice address phone:** (516) 678-4725
- **Practice address fax:** (516) 678-3488
- **Mailing address:** 2001 MARCUS AVE, SUITE W260, NEW HYDE PARK, NY 11042-2061
- **Mailing address phone:** (516) 678-4725
- **Mailing address fax:** (516) 678-3488

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 207RG0100X | Gastroenterology Physician | — | NULL | Yes |
| 207RG0100X | Gastroenterology Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/26/2014
- **Last updated:** 05/04/2015