Coppola, Mary Michele

Coppola, Mary Michele is an individual health care provider with primary practice located at 700 Broadway , Massapequa NY 11758-2324. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Coppola, Mary Michele can be contacted via phone (516) 797-7003.

Contact Information

Primary practice address
700 Broadway Massapequa NY 11758-2324
Phone: (516) 797-7003
Fax: (516) 797-7336
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 5628 New York

Profile Details

NPI number 1912988015
LBN Legal business name Coppola, Mary Michele
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 7th, 2005
Last updated Jul 8th, 2007 - about 19 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 1912988015 NPPES
New York Other 122805 VYTRA

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