Coppernoll Medical Practice Pllc
NPI #1750796173 in Wampsville, New York
Provider Information
- NPI Number
- 1750796173
- Entity Type
- Organization
- Organization Name
- Coppernoll Medical Practice Pllc
- Primary Specialty
- Family Medicine
- Enumeration Date
- Jun 24, 2014
- Last Updated
- Oct 24, 2014
Practice Location
- Address
- 101 MADISON AVE
- City
- Wampsville
- State
- New York
- ZIP Code
- 13163-7777
- Phone
- (315) 761-6770
Authorized Official
- Name
- RANDOLPH L SNOW, DO
- Title
- OWNER
- Phone
- (315) 761-6770
Specialties & Taxonomy Codes
| Specialty |
|---|
| General Practice |
| Family Medicine |
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