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NPI Code Detail

MEDICARE: VICKI LOPACHIN M.D.

MEDICARE: VICKI LOPACHIN M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician199124-1NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1922079748
Entity Type Code : Individual
Provider Name (Legal Business Name) : VICKI LOPACHIN M.D.
Provider Business Mailing Address
First Line : 108 E 96TH ST
Second Line :
City : NEW YORK
State : NY
Zip : 10128-6217
Country : US
Telephone Number : 212-410-6610
Fax Number : 212-348-0749
Provider Business Practice Location Address
First Line : 108 E 96TH ST
Second Line :
City : NEW YORK
State : NY
Zip : 10128-6217
Country : US
Telephone Number : 212-410-6610
Fax Number : 212-348-0749
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/30/2006
Last Update Date : 07/08/2007

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Directions to “ VICKI LOPACHIN M.D.” Practice Location

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