Healthcare Provider Details

I. General information

NPI: 1811854060
Provider Name (Legal Business Name): FLOW SPORTS MEDICINE PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/08/2026
Last Update Date: 01/08/2026
Certification Date: 01/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

225 BROADWAY STE 1012
NEW YORK NY
10007-3715
US

IV. Provider business mailing address

225 BROADWAY STE 1012
NEW YORK NY
10007-3715
US

V. Phone/Fax

Practice location:
  • Phone: 646-820-6770
  • Fax:
Mailing address:
  • Phone: 646-820-6770
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207PS0010X
TaxonomySports Medicine (Emergency Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: NICK COPELI
Title or Position: OWNER
Credential: MD
Phone: 917-628-0454