Individual
ANASTAZJA KOPANSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5701 CATALPA AVE, RIDGEWOOD, NY 11385-4902
(718) 366-3871
Mailing address
5728 CATALPA AVE APT 2R, RIDGEWOOD, NY 11385-4913
(347) 515-8874
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
062809
NY
Other
Enumeration date
09/20/2017
Last updated
09/20/2017
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