Individual
PETER KOPACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
L.A.C
Contact information
Practice address
1021 AVENUE Z, BROOKLYN, NY 11235-5105
(718) 769-7191
Mailing address
379 KINGS HWY, APT 2A, BROOKLYN, NY 11223
(917) 375-1640
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
002967
NY
Other
Enumeration date
04/20/2007
Last updated
07/08/2007
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