Individual
JEFF D KOPELMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
371 MERRICK RD, STE 204, ROCKVILLE CTRE, NY 11570
(516) 536-4444
(516) 536-4486
Mailing address
371 MERRICK RD, STE 204, ROCKVILLE CTRE, NY 11570
(516) 536-4444
(516) 536-4486
Taxonomy
Speciality
Code
Description
License number
State
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
Primary
162483
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0059669
GHI
—
01
—
113616761
PHCS
—
01
—
1308635
FRT HLTH
—
01
—
22597
VTRA
—
01
—
28679P
HIP
—
01
—
3C1114
HLTHNT
—
01
—
4231401
AETNA
—
01
—
9347407002
CIGNA
—
01
—
AS626
OXF
—
Enumeration date
02/02/2006
Last updated
03/16/2011
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