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Organization

MITCHELL COOPERMAN

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. KATHY NAMM (OFFICE MANAGER)
(516) 931-3613
Entity
Organization

Contact information

Practice address
346 S OYSTER BAY RD, SYOSSET, NY 11791-6912
(516) 931-3613
Mailing address
346 S OYSTER BAY RD, SYOSSET, NY 11791-6912

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1487647608
INDIVIDUAL PROVIDER NPI
NY
Enumeration date
07/02/2008
Last updated
07/27/2010
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