Provider Demographics
NPI:1598713216
Name:KOEPPEN, ARNULF H (MD)
Entity Type:Individual
Prefix:DR
First Name:ARNULF
Middle Name:H
Last Name:KOEPPEN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:113 HOLLAND AVE
Mailing Address - Street 2:NEUROLOGY AND RESEARCH SERVICES (127/151)
Mailing Address - City:ALBANY
Mailing Address - State:NY
Mailing Address - Zip Code:12208-3410
Mailing Address - Country:US
Mailing Address - Phone:518-626-6377
Mailing Address - Fax:518-626-6369
Practice Address - Street 1:113 HOLLAND AVE
Practice Address - Street 2:NEUROLOGY SERVICE
Practice Address - City:ALBANY
Practice Address - State:NY
Practice Address - Zip Code:12208-3410
Practice Address - Country:US
Practice Address - Phone:518-626-6373
Practice Address - Fax:518-626-6369
Is Sole Proprietor?:No
Enumeration Date:2006-05-05
Last Update Date:2009-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1035352084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology