Individual
DR. MARTIN R COPELAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
101 SOUTH BERGEN PLACE, FREEPORT, NY 11120
(516) 623-3600
(516) 623-9191
Mailing address
1451 CORAL RIDGE AVE, STE 518, CORALVILLE, IA 52241-2805
(917) 532-9114
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV006680
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02420322
—
NY
Enumeration date
02/16/2006
Last updated
01/10/2017
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