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Contact Information

HARRY KOPOLOVICH, M.D., M.B.A.
1400 PELHAM PKWY S
BRONX, NY10461-1138
 Phone: 718-918-5800
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
 

Critical Access

282NC0060X A0[7] Critical Access Hospital
 

Emergency Medical Technician, Basic

146N00000X
Indicates primary specialty

NPI Profile & details for HARRY KOPOLOVICH · (Male)

NPI # 1144351156
Status Active
Credentials M.D., M.B.A.
Entity Individual
Enumeration date 03/08/2007
Last updated 12/17/2021 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • NY License # 00246048
  • NY License # 247373
  • NY License # 2550856
Hospital affiliation(s)
  • JERSEY SHORE UNIVERSITY MEDICAL CENTER - (Acute Care)
    1945 RTE 33
    NEPTUNE, NJ 07754
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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