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Individual

DR. DONALD P COPLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3800 DELAWARE AVE, SUITE 106, KENMORE, NY 14217-1094
(716) 874-1772
(716) 874-6925
Mailing address
3800 DELAWARE AVE, SUITE 106, KENMORE, NY 14217-1094
(716) 874-1772
(716) 874-6925

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
109170-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00010035505
UNIVERA
NY
01
000507329005
HEALTH NOW
NY
01
0021748
GHI
NY
05
00589973
NY
01
060052392
RR MEDICARE
NY
01
109170-1B
WORKERS COMPENSATION
NY
01
161000580
NORTH AMERICAN PREFERRED
NY
01
2102744
IHA
NY
Enumeration date
04/25/2006
Last updated
12/17/2007
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