Provider Demographics
NPI:1881990448
Name:STEPHEN W. KOPF, M.D., P.C.
Entity type:Organization
Organization Name:STEPHEN W. KOPF, M.D., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:W
Authorized Official - Last Name:KOPF
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:914-941-0570
Mailing Address - Street 1:43 S HIGHLAND AVE
Mailing Address - Street 2:
Mailing Address - City:OSSINING
Mailing Address - State:NY
Mailing Address - Zip Code:10562-5226
Mailing Address - Country:US
Mailing Address - Phone:914-941-0570
Mailing Address - Fax:914-941-0778
Practice Address - Street 1:43 S HIGHLAND AVE
Practice Address - Street 2:
Practice Address - City:OSSINING
Practice Address - State:NY
Practice Address - Zip Code:10562-5226
Practice Address - Country:US
Practice Address - Phone:914-941-0570
Practice Address - Fax:914-941-0778
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-31
Last Update Date:2011-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYNY128345207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Multi-Specialty