Individual
DR. KEVIN COPE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
3768 ST HWY 30, BROADALBIN, NY 12025
(518) 883-3121
(518) 883-3280
Mailing address
PO BOX 923, BROADALBIN, NY 12025-0923
(518) 883-3121
(518) 883-3280
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
177383
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01226282
—
NY
Enumeration date
06/22/2005
Last updated
07/08/2007
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