COPPERNOLL MEDICAL PRACTICE PLLC NPI 1750796173

NPI Information

  • NPI: 1750796173
  • Provider Name: COPPERNOLL MEDICAL PRACTICE PLLC
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Address: 101 MADISON AVE
    WAMPSVILLE, NY
    ZIP 13163
  • Phone: (315) 761-6770

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NPI Details

COPPERNOLL MEDICAL PRACTICE PLLC is a family medicine in Wampsville, NY. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. COPPERNOLL MEDICAL PRACTICE PLLC NPI is 1750796173. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

101 MADISON AVE
WAMPSVILLE, NY
ZIP 13163-777
Phone: (315) 761-6770

The provider's authorized official is Randolph L Snow .
The authorized official title is Owner and has the following contact phone number (315) 761-6770.

The enumeration date for this NPI number is 6/24/2014 and was last updated on 10/24/2014.

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
1208D00000XGeneral PracticeNo
2207Q00000XFamily MedicineYes

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: 3/30/2025

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