Individual
STANFORD COPLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2157 MAIN ST, BUFFALO, NY 14214-2648
(716) 862-1501
Mailing address
2157 MAIN ST, BUFFALO, NY 14214-2648
(716) 862-1501
Taxonomy
Speciality
Code
Description
License number
State
207VX0201X
Gynecologic Oncology Physician
Primary
089969
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00020003802
UNIVERA
NY
01
—
000502357002
HEALTHNOW
NY
01
—
0709631
INDEPENDENT HEALTH
NY
05
—
PENDING
—
NY
Enumeration date
03/22/2006
Last updated
11/08/2007
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