Kopecky, Richard T
Kopecky, Richard T is an individual health care provider with primary practice located at 1304 Buckley Rd , Syracuse NY 13212-4302. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Kopecky, Richard T can be contacted via phone (315) 478-3311.Contact Information
Primary practice address
1304 Buckley Rd
Syracuse NY 13212-4302
Phone: (315) 478-3311
Fax: (315) 426-0796
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | 150197 | New York |
Profile Details
| NPI number | 1134101066 |
|---|---|
| LBN Legal business name | Kopecky, Richard T |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 16th, 2005 |
| Last updated | Apr 11th, 2012 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1134101066 | NPPES |
| New York | MEDICAID | 00907479 |
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