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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 5 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.

Request for update

Popular Providers