Individual
GENETINO T COPLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3610 MAIN ST, AMHERST, NY 14226-3123
(716) 860-7546
Mailing address
3610 MAIN ST, BUFFALO, NY 14226-3123
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
9999
NY
Other
Enumeration date
06/22/2018
Last updated
06/22/2018
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