Individual
MRS. ALYSSA ERIN COPPOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
93 E MAIN ST, JOHNSTOWN, NY 12095-2628
(518) 649-3871
Mailing address
40 HENRIETTA BLVD, AMSTERDAM, NY 12010-1111
(518) 843-3003
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
04/07/2020
Last updated
04/07/2020
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