Brittany Kopac
Individual provider Active NPI Speech-Language Pathologist · Piermont, NY
NPI 1003263633 · NPPES record last updated Nov 12, 2020
Key facts
- NPI
- 1003263633
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- Practice address
- 561 Route 9W
Piermont, NY 10968-1116 - Phone
- (845) 680-1400
- NPI assigned
- May 24, 2016
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | Yes |
Addresses
Primary practice location
561 Route 9W
Piermont, NY 10968-1116
Mailing address
1 Odell PLZ
Yonkers, NY 10701-1402
Phone (914) 965-1152
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003263633 | Medicaid | NY |
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All providers in Piermont, NY · Speech-Language Pathologist in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 12, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.