| Phyllis Kopit, Llc | |
|
20 Community Pl Suite 400 Morristown NJ 07960-7500 | |
| (973) 868-7063 | |
| Not Available |
| Full Name | Phyllis Kopit, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 20 Community Pl, Morristown, New Jersey |
| Authorized Official Name and Position | Phyllis Kopit (SOLE PROPRIETOR) |
| Authorized Official Contact | 9738687063 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Phyllis Kopit, Llc 20h Heritage Dr Chatham NJ 07928-7916 Ph: (973) 868-7063 | Phyllis Kopit, Llc 20 Community Pl Suite 400 Morristown NJ 07960-7500 Ph: (973) 868-7063 |
| NPI Number | 1942561956 |
|---|---|
| Provider Enumeration Date | 06/06/2012 |
| Last Update Date | 08/26/2016 |
| Medicare PECOS PAC ID | 0345406955 |
|---|---|
| Medicare Enrollment ID | O20120726000425 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942561956 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 44SC04548100 (New Jersey) | Primary |
| Provider Name | Phyllis Kopit |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992875686 PECOS PAC ID: 1254597867 Enrollment ID: I20120726000471 |
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