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Individual

DR. HARRY KOPOLOVICH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D., M.B.A.

Contact information

Practice address
1400 PELHAM PKWY S, BRONX, NY 10461-1138
(718) 918-5800
Mailing address
1656 E 3RD ST, BROOKLYN, NY 11230-6903

Taxonomy

Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
2550856
NY
207P00000X
Emergency Medicine Physician
Primary
247373
NY
282NC0060X
Critical Access Hospital
00246048
NY

Other

Enumeration date
03/08/2007
Last updated
12/17/2021
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