Individual
DR. MIROSLAV KOPP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
5645 MAIN ST, FLUSHING, NY 11355-5045
(718) 670-2000
Mailing address
87 STRATHMORE ST, VALLEY STREAM, NY 11581-4908
(718) 916-3619
Taxonomy
Speciality
Code
Description
License number
State
2086S0102X
Surgical Critical Care Physician
Primary
282576
NY
Other
Enumeration date
06/17/2011
Last updated
12/06/2022
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