Provider Demographics
NPI:1184748006
Name:HOPKINS, VERONICA (PNP)
Entity type:Individual
Prefix:
First Name:VERONICA
Middle Name:
Last Name:HOPKINS
Suffix:
Gender:F
Credentials:PNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6135 68TH ST
Mailing Address - Street 2:
Mailing Address - City:MIDDLE VILLAGE
Mailing Address - State:NY
Mailing Address - Zip Code:11379-1140
Mailing Address - Country:US
Mailing Address - Phone:718-899-0651
Mailing Address - Fax:
Practice Address - Street 1:465 W 167TH ST
Practice Address - Street 2:ROOM 112
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10032-4351
Practice Address - Country:US
Practice Address - Phone:212-543-3943
Practice Address - Fax:212-927-0511
Is Sole Proprietor?:No
Enumeration Date:2007-03-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY381189363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics