Individual
MRS. AVRIEL SARAH KOPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
6645 MAIN ST. SUITE B, ENT CARE OF WNY, WILLIAMSVILLE, NY 14221
(716) 634-6224
(716) 634-3816
Mailing address
6645 MAIN ST SUITE B, ENT CARE OF WNY, WILLIAMSVILLE, NY 14221
(716) 634-6224
(716) 634-3816
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
23 017630
NY
363AM0700X
Medical Physician Assistant
Primary
017630
NY
Other
Enumeration date
09/30/2014
Last updated
01/22/2016
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