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Amanda Coppola

NPI 1518327642 · on the registry since 2016 · sole proprietor

Practice

Address
51 Weed Ave
Staten Island, NY 10306
Phone
(917) 923-6984

Registry record

Primary taxonomy
2255A2300X
2255A2300X
Also registered as
2255A2300X
Licence states on file
NY, NJ
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2016-03-02

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York