Provider Demographics
NPI:1831453190
Name:POPACK, NECHAMA D (MSED)
Entity type:Individual
Prefix:
First Name:NECHAMA
Middle Name:D
Last Name:POPACK
Suffix:
Gender:F
Credentials:MSED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:317 CROWN ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11225-3003
Mailing Address - Country:US
Mailing Address - Phone:718-221-1311
Mailing Address - Fax:
Practice Address - Street 1:317 CROWN ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11225-3003
Practice Address - Country:US
Practice Address - Phone:718-221-1311
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-01
Last Update Date:2012-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist