Individual
DR. ILENE KOPSTEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
695 DICKENS AVE, FRANKLIN SQUARE, NY 11010-3323
(516) 477-8769
Mailing address
695 DICKENS AVE, FRANKLIN SQUARE, NY 11010-3323
(516) 477-8769
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
016638
NY
Other
Enumeration date
05/28/2010
Last updated
05/28/2010
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