Individual provider · Type 1 NPI

Nicole Dolores Kopchak, PA

Medical Physician Assistant · New York, NY

NPI number 1942884838 Active

Practice location

535 W 110th St Apt 1E
New York, NY 10025-2021

Call (212) 280-4740 Map

Mailing address

1211 Gannet Ct
Forked River, NJ 08731-5533

Other practice locations

  • 55 E 87th St Ste 1F, New York, NY 10128-1049 · (212) 280-4740
  • 315 W 70th St Apt 1B, New York, NY 10023-3504 · (212) 280-4740

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X026978 (NY)

Medical Physician Assistant: Definition to come...

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About NPI 1942884838

Nicole Dolores Kopchak, PA's National Provider Identifier is 1942884838, issued on May 7, 2021. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in New York, NY. The record was last updated on Sep 15, 2022.