Paolo Thomas Coppola
Emergency Physician Family Doctor - Addiction Medicine
519 W Jericho Tpke
Smithtown
, New York 11787-2619
Paolo Thomas Coppola
Emergency Physician Family Doctor - Addiction Medicine
519 W Jericho Tpke
Smithtown
, New York 11787-2619
(631) 360-9406
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About
Features
Specialties
- Emergency Physician
- Family Doctor - Addiction Medicine
Languages spoken
- English
Location
First Address
- Paolo Thomas Coppola
- 100 Granny Rd Ste 1
- Farmingville, NY
- Zip : 11738-2879
- Fax : (631) 360-9406
- Phone : (631) 360-5900
Second Address
- Paolo Thomas Coppola
- 519 W Jericho Tpke
- Smithtown, NY
- Zip : 11787-2619
- Fax : (631) 360-9406
- Phone : (631) 360-5900
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207P00000X | Emergency Physician | 207790 | NY |
| N | 207QA0401X | Family Doctor - Addiction Medicine | 207790 | NY |
National Provider Identifier
| NPI | 1114970753 |
|---|---|
| Provider Name | Paolo Thomas Coppola |
| First Address | Farmingville, NY 11738-2879 |
| Second Address | Smithtown, NY 11787-2619 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 17/05/2006 |
| Last Update Date | 10/02/2019 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| G68330 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.