Individual
DR. ANTHONY KOPATSIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3163 HYLAN BLVD, STATEN ISLAND, NY 10306-4145
(718) 667-7009
(718) 667-7514
Mailing address
PO BOX 60039, STATEN ISLAND, NY 10306-0039
(718) 667-7009
(718) 667-7514
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
2011611
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01860734
—
NY
01
—
166717
ELDER PLAN
NY
01
—
1700922
UNITED HEALTHCARE MEDICAR
NY
01
—
2011611
HIP
NY
01
—
201161E11
HEALTH FIRST
NY
01
—
3773644
AETNA
NY
01
—
3C7017
PHS
NY
01
—
90588
GHI HMO
NY
01
—
9759204
GHI
NY
01
—
BK0226607
AMERICHOICE
NY
01
—
P00220301
RAILROAD MEDICARE
NY
01
—
P3568917
OXFORD
NY
Enumeration date
01/06/2006
Last updated
09/18/2013
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