GARY COPPOLINO NPI 1609139047

NPI Information

  • NPI: 1609139047
  • Provider Name: GARY COPPOLINO
  • Classification: Specialist - 174400000X
  • Entity Type: Individual
  • Address: 270 JUNIPER RD
    KINGS PARK, NY
    ZIP 11754
  • Phone: (631) 724-1214

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NPI Details

Gary Coppolino is a specialist in Kings Park, NY. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. Gary Coppolino NPI is 1609139047. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

270 JUNIPER RD
KINGS PARK, NY
ZIP 11754-131
Phone: (631) 724-1214

The enumeration date for this NPI number is 6/20/2012 and was last updated on 6/20/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialistYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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