Organization
NEIL J KOPPEL DC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NEIL J KOPPEL DC LAC (OWNER)
(516) 504-4040
Entity
Organization
Contact information
Practice address
444 LAKEVILLE RD, SUITE 203, LAKE SUCCESS, NY 11042-1165
(516) 504-4040
(516) 482-1948
Mailing address
4500 EXECUTIVE DR, SUITE 330, NAPLES, FL 34119-8939
(239) 214-0214
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X008178
NY
171100000X
Acupuncturist
002077
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002077
NY ACU LIC #
NY
01
—
CO8178-1
NYS WC #
NY
01
—
X008178
NY CHIRO LIC #
NY
01
—
X75291
MEICARE INDIVIDUAL PROV #
NY
Enumeration date
02/02/2008
Last updated
05/13/2016
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