MARY COPPOLO (NPI# 1750815098) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750815098 |
| Entity Type | Individual |
| Full Name | MARY COPPOLO |
| Credential | APRN |
| Practice Address |
999 Summer St Suite 304 Stamford CT 06905-5546 |
| Practice Telephone | 2033255700 |
| Practice Fax Number | 2033258080 |
| Mailing Telephone | 2033255700 |
| Enumeration Date | 2017-04-13 |
| Last Update Date | 2017-04-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
6931 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
999 SUMMER ST SUITE 304 |
| City | STAMFORD |
| State | CT |
| Zip Code | 06905-5546 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609856020 | James Tulacro | Physician Assistant | 999 Summer St, 304, Stamford, CT 06905-5546 | 2006-01-20 |
| 1598222119 | Lubna Latif | Physician Assistant | 999 Summer St, Stamford, CT 06905-5546 | 2019-03-01 |
| 1578937579 | Integrative Medical Solutions, PC | Physical Medicine & Rehabilitation | 999 Summer St, Suite 205, Stamford, CT 06905-5546 | 2015-11-15 |
| 1700256708 | Big Leaps | Occupational Therapist | 999 Summer St, Suite 104, Stamford, CT 06905-5546 | 2015-10-02 |
| 1346649589 | Mark J. Ostrowski, Psy.d. LLC | Psychologist | 999 Summer St, Suite 200, Stamford, CT 06905-5546 | 2014-08-13 |
| 1962849091 | Comprehensive Neurology and Pain Center of Connecticut (stamford) | Pain Medicine | 999 Summer St, Suite 100, Stamford, CT 06905-5546 | 2013-05-30 |
| 1013263847 | Connecticut Skin Institute | Dermatology | 999 Summer St, Suite 205, Stamford, CT 06905-5546 | 2012-07-30 |
| 1033472568 | Shimrat R Notik | Dermatology | 999 Summer St, Ste 305, Stamford, CT 06905-5513 | 2012-06-19 |
| 1306156385 | Danielle Mckay | Occupational Therapy Assistant | 999 Summer St, Suite 104, Stamford, CT 06905-5546 | 2010-10-08 |
| 1568770428 | Gold Coast Plastic Surgery and Laser Center, LLC | Plastic Surgery | 999 Summer St, Suite 401, Stamford, CT 06905-5546 | 2010-09-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396367272 | Smartport LLC | Non-emergency Medical Transport (VAN) | C/o Mollo, 1111 Summer St, Stamford, CT 06905 | 2020-05-13 |
| 1245889096 | Anna Diamantis | Counselor | 1200 High Ridge Road, 2nd Floor, Stamford, CT 06905 | 2019-09-04 |
| 1871150409 | Connecticut Anesthesia Associates LLC | Anesthesiology | 1177 High Ridge Road, Stamford, CT 06905 | 2019-05-20 |
| 1518447887 | Alexandra Petrov | Lactation Consultant, Non-RN | 42 Riverside Ave, Stamford, CT 06905 | 2018-08-16 |
| 1235640327 | A&s Chemists LLC | Pharmacy | 910 Summer Ave, Stamford, CT 06905 | 2017-10-17 |
| 1659805117 | Evolution Physical Therapy, LLC | Clinic/Center | 7 Reynolds Ave, Stamford, CT 06905 | 2017-04-11 |
| 1326587841 | Karen Poggi | Speech-Language Pathologist | 30 Buxton Farm Rd., Suite 230, Stamford, CT 06905 | 2017-02-16 |
| 1811434871 | Christina Skuburids, LLC | Point of Service | 2043 Bedford Street, Stamford, CT 06905 | 2017-01-27 |
| 1669833513 | Christian Alvarez | Occupational Therapist | 15 First St Unit 1, Stamford, CT 06905 | 2016-03-18 |
| 1932500915 | Emily Krol | Psychologist | 29 Yale Court, Stamford, CT 06905 | 2014-09-10 |
| Find all providers in zip 06905 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558977801 | Megan Bouchard | Nurse Practitioner | 2351 Summer St, Stamford, CT 06905-4504 | 2020-09-22 |
| 1518579465 | Ashley Pacheco | Nurse Practitioner | 29 Hospital Plz Ste 504, Stamford, CT 06902-3602 | 2020-08-21 |
| 1073164059 | Eleina Sapoz | Nurse Practitioner | 51 Greenfield Rd, Stamford, CT 06906-1226 | 2019-09-22 |
| 1831746395 | Helen Sudkamp-walker | Nurse Practitioner | 22 Fifth St, Stamford, CT 06905-5030 | 2019-08-20 |
| 1427610658 | Kristen Best-friesz | Nurse Practitioner | 83 Columbus Pl Apt D, Stamford, CT 06907-1661 | 2019-07-09 |
| 1790243632 | Ann Teresa Rupp | Nurse Practitioner | 292 Long Ridge Rd Ste 206, Stamford, CT 06902-1627 | 2019-03-11 |
| 1730654815 | Brenice Duroseau | Nurse Practitioner | 292 Long Ridge Rd Ste 202, Stamford, CT 06902 | 2018-10-04 |
| 1396232609 | Lisa Walker | Nurse Practitioner | 91 Mather Rd, Stamford, CT 06903-3026 | 2018-04-23 |
| 1225530447 | Elizabeth Anne Kaplan | Nurse Practitioner | 108 Dogwood Ct, Stamford, CT 06903-4511 | 2018-03-03 |
| 1932650371 | Lauren Bode | Nurse Practitioner | 35 Sixth Street, Stamford, CT 06905-4108 | 2016-10-20 |
| Find all providers in STAMFORD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.