Organization
CS MEDICAL ASSOCIATES, P.C.
Active
Organization
CS MEDICAL ASSOCIATES, P.C.
Active
Parent organization
CS MEDICAL ASSOCIATES, P.C.
Other names
Victory Recovery Partners
Organization subpart
Yes
Provider details
NPI number
Legal business name
CS MEDICAL ASSOCIATES, P.C.
Authorized official
PAOLO COPPOLA MD (OWNER)
(631) 696-4357
Entity
Organization
Contact information
Practice address
1228 E MAIN ST STE A, RIVERHEAD, NY 11901-2677
(631) 696-4357
(631) 846-8138
Mailing address
100 GRANNY RD STE 1, FARMINGVILLE, NY 11738-2879
(631) 696-4357
(631) 846-8138
Taxonomy
Speciality
Code
Description
License number
State
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
—
—
261Q00000X
Clinic/Center
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
04/20/2019
Last updated
04/05/2020
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