Individual
ALYSON L COPPOLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPA-C
Contact information
Practice address
8207 MAIN ST, SUITE 5, WILLIAMSVILLE, NY 14221-6060
(716) 632-2000
Mailing address
125 FOXPOINT W, WILLIAMSVILLE, NY 14221
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
013863
NY
Other
Enumeration date
06/07/2011
Last updated
09/25/2011
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