Nicole Stoppelli, PA STUDENT

NPI #1487313714 in Lindenhurst, New York

Provider Information

NPI Number: 1487313714
Entity Type: Individual
Name: Nicole Stoppelli, PA STUDENT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA STUDENT
Enumeration Date: Dec 14, 2021
Last Updated: Dec 14, 2021

Practice Location

Address: 305 N GREENE AVE
City: Lindenhurst
State: New York
ZIP Code: 11757-3862
Phone: (631) 943-1147

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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