Kopczuk, Kerri Lynn

Kopczuk, Kerri Lynn is an individual health care provider with primary practice located at 50 Craig Rd , Montvale NJ 07645-1709. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is her primary health care specialty. Kopczuk, Kerri Lynn can be contacted via phone (888) 636-7840.

Contact Information

Primary practice address
50 Craig Rd Montvale NJ 07645-1709
Phone: (888) 636-7840
Fax: (267) 479-1321
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 014031 New York
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 014031 New York

Profile Details

NPI number 1639481070
LBN Legal business name Kopczuk, Kerri Lynn
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2010
Last updated Jun 8th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639481070 NPPES
New York MEDICAID 03280100

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