# LAURA POPPER, MD. PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114511409
- **Authorized official:** MRS. KATHLEEN EILLORE HARRIS AM (PRACTICE MANAGER)
- **Authorized official phone:** (212) 794-2136

## Contact information

- **Practice address:** 116 EAST 66TH STREET, \#1C, NEW YORK CITY, NY 10065
- **Practice address phone:** (212) 794-2136
- **Practice address fax:** (212) 734-0855
- **Mailing address:** 116 EAST 66TH STREET, \#1C, NEW YORK CITY, NY 10065
- **Mailing address phone:** (212) 794-2136
- **Mailing address fax:** (212) 734-0855

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2080A0000X | Pediatric Adolescent Medicine Physician | — | NULL | Yes |
| 2080A0000X | Pediatric Adolescent Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/26/2021
- **Last updated:** 02/26/2021