Individual
LAWRENCE KOPSICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
301 E MAIN ST, BAY SHORE, NY 11706-8408
(631) 968-3000
Mailing address
38 AMBROSE AVE, MALVERNE, NY 11565-1319
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
310047
NY
Other
Enumeration date
04/05/2017
Last updated
09/12/2024
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