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1366618472
LAURA A COPPOLA
FLUSHING, NY
NPI
1366618472
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 004867)
Enumeration Date
2008-05-08
Last Update Date
2022-10-22
Business Address
LAURA A COPPOLA
5645 MAIN ST
FLUSHING, NY 11355-5045
Phone number: 718-670-1304
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Mailing Address
LAURA A COPPOLA
31 COTTONWOOD DR
COMMACK, NY 11725-2422
Phone number: 631-543-0231
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