Coppola, Joshu E.

Coppola, Joshu E. is an individual health care provider with primary practice located at 5100 W Taft Rd Suite 1P, Liverpool NY 13088-3807. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is his primary health care specialty. Coppola, Joshu E. can be contacted via phone (315) 452-2829.

Contact Information

Primary practice address
5100 W Taft Rd Suite 1P Liverpool NY 13088-3807
Phone: (315) 452-2829
Fax: (315) 452-2870
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 011563 New York
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 011563 New York

Profile Details

NPI number 1942382528
LBN Legal business name Coppola, Joshu E.
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 20th, 2006
Last updated Jun 2nd, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942382528 NPPES
New York MEDICAID 03316910

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