Provider Demographics
NPI:1699913699
Name:KOPYOFF, HELEN I (DDS)
Entity type:Individual
Prefix:MRS
First Name:HELEN
Middle Name:I
Last Name:KOPYOFF
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:MRS
Other - First Name:HELEN
Other - Middle Name:I
Other - Last Name:KOPYOFF
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:1719 QUENTIN RD.
Mailing Address - Street 2:APT 6C
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11229-1219
Mailing Address - Country:US
Mailing Address - Phone:347-426-8644
Mailing Address - Fax:347-371-9341
Practice Address - Street 1:4222 HYLAN BLVD
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10308-3360
Practice Address - Country:US
Practice Address - Phone:718-356-2700
Practice Address - Fax:718-356-6238
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-29
Last Update Date:2018-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0544761223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY03142945Medicaid