Physician Compare National (NPI:1679888036)

HEALTHCARE PROVIDER: URSZULA S KOPEC M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1679888036
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	2567693617
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20140402002119
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	KOPEC
	Individual professional last name
Provider First Name	URSZULA
	Individual professional first name
Provider Middle Name	S
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	PONCE SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	2009
	Individual professional's medical school graduation year
Primary Specialty	PSYCHIATRY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	115 NASSAU AVE
	Group Practice or individual's line 1 address
City	BROOKLYN
	Group Practice or individual's city
State	NY
	Group Practice or individual's state
Zip Code	112223217
	Group Practice or individual's zip code (9 digits when available)
Phone Number	7183892121
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	330128
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	ELMHURST HOSPITAL CENTER
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	M