Koppel, James N

Koppel, James N is an individual health care provider with primary practice located at 410 Lakeville Rd Ste 209, New Hyde Park NY 11042-1122. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Koppel, James N can be contacted via phone (516) 488-5050.

Contact Information

Primary practice address
410 Lakeville Rd Ste 209 New Hyde Park NY 11042-1122
Phone: (516) 488-5050
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X A133699-1 New York

Profile Details

NPI number 1972508489
LBN Legal business name Koppel, James N
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2005
Last updated Jul 8th, 2007 - about 17 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 1972508489 NPPES
New York MEDICAID 00363800

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