Individual
DR. JEREMY SAMUEL POPPERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD PHD
Contact information
Practice address
101 NICOLLS RD, HEALTH SCIENCE CENTER LEVEL 4, # 060, STONY BROOK, NY 11794-0001
(631) 444-2975
(631) 444-2907
Mailing address
PO BOX 1554, HEALTH SCIENCE CENTER LEVEL 4, # 060, STONY BROOK, NY 11790-0988
(631) 444-2975
(631) 444-2907
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
225604
MA
207L00000X
Anesthesiology Physician
Primary
252463-1
NY
Other
Enumeration date
12/04/2006
Last updated
07/06/2015
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