person
Carolyn Koppel, NP
Pediatric Nurse Practitioner in Ithaca, New York
NPI 1437249471

Carolyn Koppel is a Pediatric Nurse Practitioner based in Ithaca, NY and is specialized in Pediatrics. Carolyn Koppel practices in Ithaca, NY and has the professional credentials of NP. The NPI Number for Carolyn Koppel is 1437249471 and holds a License No. F381159-1 (New York).

The current practice location address for Carolyn Koppel is 1301 Trumansburg Rd, Ithaca, NY and can be reached out via phone at 607-272-6880 and via fax at 607-272-1436.

Location: 1301 Trumansburg Rd, Ithaca, NY, 14850-1397
person
Provider Profile Details
NPI Number
1437249471
Provider Name
Carolyn Koppel
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
1301 Trumansburg Rd, Ithaca, NY, 14850-1397
Phone Number
607-272-6880
Fax Number
607-272-1436
Provider Enumeration Date
10/13/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
01972976 05 NY
institution
Provider Business Practice Location Address Details
Address
1301 Trumansburg Rd
City
State
Zip
14850-1397
Phone Number
607-272-6880
Fax Number
607-272-1436
person
Provider Business Mailing Address Details
Address
1301 Trumansburg Rd
City
State
Zip
14850-1397
Phone Number
607-272-6880
Fax Number
607-272-1436
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
License No.
F381159-1 (New York)
Definition
Definition to come...
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