Kopp, David William

Kopp, David William is an individual health care provider with primary practice located at 420 Cross Keys Office Park , Fairport NY 14450-3506. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Kopp, David William can be contacted via phone (585) 223-4620.

Contact Information

Primary practice address
420 Cross Keys Office Park Fairport NY 14450-3506
Phone: (585) 223-4620
Fax: (585) 223-7447
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 202063-1 New York

Profile Details

NPI number 1134198849
LBN Legal business name Kopp, David William
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 15th, 2006
Last updated Aug 28th, 2022 - about 2 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 1134198849 NPPES
Pennsylvania MEDICAID 0018028810001

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