Provider Demographics
NPI:1568454577
Name:KOPFF, HEATHER S (DO)
Entity Type:Individual
Prefix:DR
First Name:HEATHER
Middle Name:S
Last Name:KOPFF
Suffix:
Gender:F
Credentials:DO
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Mailing Address - Street 1:4 PALISADES DR
Mailing Address - Street 2:SUITE 100
Mailing Address - City:ALBANY
Mailing Address - State:NY
Mailing Address - Zip Code:12205-1443
Mailing Address - Country:US
Mailing Address - Phone:518-446-9545
Mailing Address - Fax:518-446-9551
Practice Address - Street 1:4 PALISADES DR
Practice Address - Street 2:SUITE 100
Practice Address - City:ALBANY
Practice Address - State:NY
Practice Address - Zip Code:12205-1443
Practice Address - Country:US
Practice Address - Phone:518-446-9545
Practice Address - Fax:518-446-9551
Is Sole Proprietor?:No
Enumeration Date:2005-08-16
Last Update Date:2021-05-14
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY205348207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01761797Medicaid
NY01761797Medicaid
NYRA2952Medicare PIN