Individual
JASON EUSEPH COPELAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MBBS
Contact information
Practice address
665 ELM AND CARLTON STREET ELM AND CARLTON STREET, BUFFALO, NY 14263-0001
(876) 877-9100
Mailing address
237 MAIN ST APT 1006, BUFFALO, NY 14203-2715
(876) 877-9100
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
6010250301
NY
Other
Enumeration date
10/16/2019
Last updated
10/16/2019
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