| Susan T. Coppeto Lcsw Pc | |
|
68 Cannon Dr. Holbrook NY 11741 | |
| (631) 567-6721 | |
| Not Available |
| Full Name | Susan T. Coppeto Lcsw Pc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 68 Cannon Dr., Holbrook, New York |
| Authorized Official Name and Position | Susan T. Coppeto (PRESIDENT) |
| Authorized Official Contact | 6315676721 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Susan T. Coppeto Lcsw Pc 68 Cannon Dr Holbrook NY 11741-5219 Ph: (631) 567-6721 | Susan T. Coppeto Lcsw Pc 68 Cannon Dr. Holbrook NY 11741 Ph: (631) 567-6721 |
| NPI Number | 1184920134 |
|---|---|
| Provider Enumeration Date | 02/08/2011 |
| Last Update Date | 02/08/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184920134 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | R051696-1 (New York) | Primary |
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