Organization
STAT HEALTH IMMEDIATE MEDICAL CARE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAOLO COPPOLA MD (MEMBER)
(631) 360-5900
Entity
Organization
Contact information
Practice address
519 W JERICHO TPKE, SMITHTOWN, NY 11787-2619
(631) 360-5900
(631) 360-9406
Mailing address
519 W JERICHO TPKE, SMITHTOWN, NY 11787-2619
(631) 360-5900
(631) 360-9406
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
207790
NY
Other
Enumeration date
05/01/2007
Last updated
06/10/2013
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