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Individual

CHRIS POPP

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LMT

Contact information

Practice address
535 BROADHOLLOW RD, MELVILLE, NY 11747-3713
(516) 971-5435
Mailing address
375 NORTH BROADWAY, SUITE LL2, C/O MMS, JERICHO, NY 11753
(516) 433-5018
(516) 433-5084

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
006341-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
006341-1
LICENSE
NY
Enumeration date
04/05/2013
Last updated
04/10/2013
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