Basic Information
| Provider Information | |||||||||
| NPI: | 1447622733 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | KOPIDLANSKY | ||||||||
| FirstName: | CHRISTIE | ||||||||
| MiddleName: | |||||||||
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| Credential: | APRN-FNP-C | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 180 | ||||||||
| Address2: | |||||||||
| City: | BEAVER FALLS | ||||||||
| State: | NY | ||||||||
| PostalCode: | 133050180 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3153466824 | ||||||||
| FaxNumber: | 3153466868 | ||||||||
| Practice Location | |||||||||
| Address1: | 9559 MAIN STREET | ||||||||
| Address2: | |||||||||
| City: | BEAVER FALLS | ||||||||
| State: | NY | ||||||||
| PostalCode: | 13305 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3153466824 | ||||||||
| FaxNumber: | 3153466868 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/26/2015 | ||||||||
| LastUpdateDate: | 07/16/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 06/01/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LF0000X | 345416 | NY | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family | 363LF0000X | AP129394 | TX | N | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family |
No ID Information.