# NEIL J KOPPEL DC PC

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

## Provider details

- **NPI number:** 1922286871
- **Authorized official:** DR. NEIL J KOPPEL DC LAC (OWNER)
- **Authorized official phone:** (516) 504-4040

## Contact information

- **Practice address:** 444 LAKEVILLE RD, SUITE 203, LAKE SUCCESS, NY 11042-1165
- **Practice address phone:** (516) 504-4040
- **Practice address fax:** (516) 482-1948
- **Mailing address:** 4500 EXECUTIVE DR, SUITE 330, NAPLES, FL 34119-8939
- **Mailing address phone:** (239) 214-0214

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | X008178 | NY | Yes |
| 171100000X | Acupuncturist | 002077 | NY | — |

## Other

- **Enumeration date:** 02/02/2008
- **Last updated:** 05/13/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 002077 | NY ACU LIC \# | NY |
| 01 | — | CO8178-1 | NYS WC \# | NY |
| 01 | — | X008178 | NY CHIRO LIC \# | NY |
| 01 | — | X75291 | MEICARE INDIVIDUAL PROV \# | NY |