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Individual

DR. STEVEN M PUOPOLO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
6 TECHNOLOGY DR STE 100, EAST SETAUKET, NY 11733-4079
(631) 689-6698
(631) 751-5548
Mailing address
6 TECHNOLOGY DR STE 100, EAST SETAUKET, NY 11733-4079
(631) 689-6698
(631) 751-5548

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
213316
NY
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
213316
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
002639545
NY
Enumeration date
09/20/2006
Last updated
03/18/2019
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