Individual
MRS. NICOLE M KOPERDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NCSP, MA/CAGS
Contact information
Practice address
378 CHARLES AVE, MASSAPEQUA PARK, NY 11762-1601
(516) 274-2076
Mailing address
378 CHARLES AVE, MASSAPEQUA PARK, NY 11762-1601
(516) 274-2076
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
1082284
NY
Other
Enumeration date
06/15/2021
Last updated
06/15/2021
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