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Individual

DR. VICTORIA KOPEC

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
AU.D.

Contact information

Practice address
640 BELLE TERRE RD STE C, EAR WORKS, PORT JEFFERSON, NY 11777-1936
(631) 928-4599
(631) 928-5542
Mailing address
640 BELLE TERRE RD STE C, EAR WORKS, PORT JEFFERSON, NY 11777-1936
(631) 928-4599
(631) 928-5542

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
00144-1
NY
237600000X
Audiologist-Hearing Aid Fitter
Primary
14000006852
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
001444-1
HIP
NY
01
113630298
TAX ID
NY
01
2414342
UNITED HEALTHCARE
NY
01
4800362
GHI
NY
01
71692
VYTRA
NY
01
M72472
EMPIRE
NY
01
P3614952
OXFORD
NY
Enumeration date
02/05/2007
Last updated
06/06/2008
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