Joseph Coppolo JR. PSY.D

NPI 1619150299 - Psychologist - 103TC0700X

NPI Details
NPI 1619150299
Gender Male
Enumeration Date 12/06/2007
Last Updated 12/06/2007
Entity Type Individual
Active Over 8 years ago
Practice Location
3 WILLIAM AVE
STATEN ISLAND NY, 10308-3142, US
Phone (718) 667-3790
Fax (718) 667-3790
Business Location
3 WILLIAM AVE
STATEN ISLAND NY, 10308-3142, US
Phone (718) 667-3790
Fax (718) 667-3790
Toxanomy
Taxonomy Code 103TC0700X
License State New York
License Number 010359
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According to our database, Dr. Joseph Coppolo JR. PSY.D NPI is 1619150299, taxonomy code is 103TC0700X and license number is 010359, license state is located at New York. Joseph Coppolo JR. PSY.D physically located at 3 William Ave, Staten Island NY, 10308-3142. NPI Number Joseph Coppolo JR. PSY.D has the Individual type.

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1619150299 NPI number is provided on an as is basis without warranty of any kind. 1619150299 is maintained by the National Plan & Provider Enumeration System. The contents of Joseph Coppolo JR. PSY.D are for informational purposes only.