Individual
NIKOLAY KOPACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAC
Contact information
Practice address
288 BAY 38TH, ST APT 7N, BROOKLYN, NY 11214
(718) 288-2943
Mailing address
288 BAY 38TH ST, APT 7N, BROOKLYN, NY 11214-6552
(718) 288-2943
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
004942-1
NY
Other
Enumeration date
06/18/2015
Last updated
06/18/2015
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