Individual
MICHELLE COPELAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.D., M.D.
Contact information
Practice address
1001 5TH AVE, NEW YORK, NY 10028
(212) 452-2200
(212) 452-2208
Mailing address
1001 5TH AVE, NEW YORK, NY 10028
(212) 452-2200
(212) 452-2208
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
147955
NY
Other
Enumeration date
11/13/2006
Last updated
12/23/2011
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