Individual
DR. JOSEPH COPPOLO JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D
Contact information
Practice address
3 WILLIAM AVE, STATEN ISLAND, NY 10308-3142
(718) 667-3790
(718) 667-3790
Mailing address
3 WILLIAM AVE, STATEN ISLAND, NY 10308-3142
(718) 667-3790
(718) 667-3790
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
010359
NY
Other
Enumeration date
12/06/2007
Last updated
12/06/2007
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