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1396196135
MICHAEL KOPUSOV
BROOKLYN, NY
NPI
1396196135
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207R00000X Internal Medicine
(Licence: NY 301456)
Enumeration Date
2016-06-22
Last Update Date
2019-10-22
Business Address
MICHAEL KOPUSOV M.D.
760 BROADWAY
BROOKLYN, NY 11206
Phone number: 718-963-8000
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Mailing Address
MICHAEL KOPUSOV M.D.
9229 SHORE RD APT 2B
BROOKLYN, NY 11209-6505
Phone number: 917-628-8175
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