Individual
DANIELLE STEFANIA KOPECKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1214 TROY SCHENECTADY RD, LATHAM, NY 12110
(518) 346-2358
Mailing address
1214 TROY SCHENECTADY RD, LATHAM, NY 12110-1020
(518) 346-2358
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
023649
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/14/2019
Last updated
10/07/2022
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