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1912988015
MARY MICHELE COPPOLA
MASSAPEQUA, NY
NPI
1912988015
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: NY 5628)
Enumeration Date
2005-11-07
Last Update Date
2007-07-08
Business Address
Ms. MARY MICHELE COPPOLA PT
700 BROADWAY
MASSAPEQUA, NY 11758-2324
Phone number: 516-797-7003
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Mailing Address
Ms. MARY MICHELE COPPOLA PT
501 N 7TH ST
NEW HYDE PARK, NY 11040-3028
Phone number: 516-775-7046
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