Individual
DR. TERESE AGNES COPELAND
Active
Individual
DR. TERESE AGNES COPELAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary
206064
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01760076
—
NY
Enumeration date
10/21/2005
Last updated
05/25/2018
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