Healthcare Provider Details

I. General information

NPI: 1316984271
Provider Name (Legal Business Name): JOYCE KOPICKY BURD M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: DR. JOYCE ANN KOPICKY-BURD

II. Dates (important events)

Enumeration Date: 06/01/2006
Last Update Date: 06/10/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

292 SAINT CHARLES WAY
YORK PA
17402-4648
US

IV. Provider business mailing address

3421 CONCORD RD
YORK PA
17402-9001
US

V. Phone/Fax

Practice location:
  • Phone: 717-851-6236
  • Fax: 717-851-6243
Mailing address:
  • Phone: 717-851-6236
  • Fax: 717-851-6243

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License NumberD29920
License Number StateMD
# 2
Primary TaxonomyY
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License NumberMD069697L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: