Organization
ANTHONY KOPATSIS MD FACS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHEREE ROTH (BILLING MANAGER)
(732) 608-6639
Entity
Organization
Contact information
Practice address
3163 HYLAN BLVD, STATEN ISLAND, NY 10306-4145
(718) 667-7009
(718) 667-7514
Mailing address
PO BOX 60039, STATEN ISLAND, NY 10306-0039
(718) 667-7009
(718) 667-7514
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
2011611
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01860737
—
NY
Enumeration date
07/26/2007
Last updated
09/19/2013
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