Koperda, Nicole M
Koperda, Nicole M is an individual health care provider with primary practice located at 378 Charles Ave , Massapequa Park NY 11762-1601. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Koperda, Nicole M can be contacted via phone (516) 274-2076.Contact Information
Primary practice address
378 Charles Ave
Massapequa Park NY 11762-1601
Phone: (516) 274-2076
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / School | 103TS0200X | 1082284 | New York |
Profile Details
NPI number | 1437727591 |
---|---|
LBN Legal business name | Koperda, Nicole M |
Credentials | NCSP, MA/CAGS |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 15th, 2021 |
Last updated | Jun 15th, 2021 - 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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