| Mr Ilya Kopach, FNP | |
|
2520 Batchelder St Apt 5h, Brooklyn, NY 11235-1545 | |
| (347) 760-7684 | |
| Not Available |
| Full Name | Mr Ilya Kopach |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Location | 2520 Batchelder St Apt 5h, Brooklyn, New York |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760149660 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 656739 (New York) | Secondary |
| 363L00000X | Nurse Practitioner | 343781 (New York) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Ilya Kopach, FNP 2520 Batchelder St, Brooklyn, NY 11235-1553 Ph: () - | Mr Ilya Kopach, FNP 2520 Batchelder St Apt 5h, Brooklyn, NY 11235-1545 Ph: (347) 760-7684 |
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