Individual
LAURIE KOPIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2400 S CLINTON AVE, BUILDING G - CARDIOLOGY, ROCHESTER, NY 14618-2668
(585) 341-7700
(585) 341-4213
Mailing address
601 ELMWOOD AVE, BOX 679B, ROCHESTER, NY 14642-0001
(585) 275-2475
(585) 473-0477
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
287236-1
NY
363L00000X
Nurse Practitioner
Primary
301154
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02413587
—
NY
01
—
P019301154
BLUE CHOICE
NY
Enumeration date
08/12/2006
Last updated
07/05/2023
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