Doctor Name: | DR. NEIL J KOPPEL |
NPI Number: | 1619021839 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.C., L.AC. |
License Number: | CH 8701 |
Business Practice Address: | 444 Lakeville Rd Suite 203 Lake Success, NY - 110421165 |
Business Phone Number: | 5165044040 |
Business Fax Number: | 5164821948 |
Mailing Address: | 444 Lakeville Rd, Suite 203 LAKE SUCCESS |
State: | NY |
Postal Code: | 110421165 |
Phone Number: | 5165044040 |
Fax Number: | 5164821948 |
NPI Enumeration Date: | 01/23/2007 |
NPI Last Update Date: | 11/02/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | CH 8701 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | FL |
Taxonomy Type: | Chiropractic Providers |
Taxonomy Classification: | Chiropractor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |