Individual
DR. JEREMY D COPLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1165 NORTHERN BLVD., SUITE 200, MANHASSET, NY 11030
(516) 365-3300
(718) 270-8826
Mailing address
3829 OCEAN VIEW AVE, BROOKLYN, NY 11224-1343
(718) 373-2622
(718) 270-8826
Taxonomy
Speciality
Code
Description
License number
State
2084P0015X
Psychosomatic Medicine Physician
Primary
176550
NY
Other
Enumeration date
04/23/2007
Last updated
07/08/2007
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