Individual
DR. WALLY KOPELOWITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
546 EASTERN PARKWAY, EMPIRE CENTER, BROOKLYN, NY 11225
(718) 604-4800
(718) 604-4828
Mailing address
233 NOSTRAND AVE, BROOKLYN, NY 11205
(718) 826-3911
(718) 826-3860
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
1371321
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00460297
—
NY
Enumeration date
05/10/2006
Last updated
03/01/2008
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