Mary Michele Coppola in Massapequa - Physical Therapist
Mary Michele Coppola - NPI 1912988015
Mary Michele Coppola is a Physical Therapist in Massapequa, New York. Mary Michele Coppola practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Mary Michele Coppola is 1912988015. The last update date is 2007-07-08.
Mary Michele Coppola's current location address is 700 Broadway, Massapequa, New York. You can contact this provider via phone number 5167977003 and fax number 5167977336. The mailing address for Mary Michele Coppola is 700 Broadway, Massapequa, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary Michele Coppola |
|---|---|
| Address | 700 Broadway, Massapequa, New York |
| Phone Number | 5167977003 |
| Fax Number | 5167977336 |
| Sole Proprietor | X |
| Credentials | PT |
NPI Number Detail
| NPI Number | 1912988015 |
|---|---|
| Provider Enumeration Date | 2005-11-07 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 700 Broadway |
|---|---|
| City | Massapequa |
| State | New York (NY) |
| Post Code | 117582324 |
| Phone Number | 5167977003 |
| Fax Number | 5167977336 |
Provider's Primary Taxonomy Detail
| Speciality | Physical Therapist |
|---|---|
| Taxonomy | 225100000X |
| Licence No | 5628 |
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Definition: Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and per |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 122805 | NY | VYTRA |
Post Comment/ Review Below
What is the unique identifier code issued to Mary Michele Coppola by the Centers for Medicare & Medicaid Services (CMS)?
The Mary Michele Coppola has been assigned the NPI (National Provider Identifier) 1912988015. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete physical address where Mary Michele Coppola is located?
The Mary Michele Coppola is situated at the following address: 700 Broadway, Massapequa, NY, 117582324.
What is the Mary Michele Coppola's area of specialization and corresponding taxonomy classification?
The Mary Michele Coppola's specialty field is Physical Therapist, and it falls under the taxonomy code 225100000X, which categorizes healthcare providers based on their specialties.
On what date did Mary Michele Coppola receive its 1912988015 assignment from the Centers for Medicare & Medicaid Services?
The Mary Michele Coppola was assigned its 1912988015 on 2005-11-07, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Mary Michele Coppola's details last updated?
The information pertaining to the Mary Michele Coppola, including its address, specialty, and other details, was most recently updated on 2007-07-08.
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