Coppolo, Charles J.

Coppolo, Charles J. is an sole proprietor health care provider with primary practice located at 137 Hammond St , Port Jervis NY 12771-2608. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Coppolo, Charles J. can be contacted via phone (845) 858-8911.

Contact Information

Primary practice address
137 Hammond St Port Jervis NY 12771-2608
Phone: (845) 858-8911
Fax: (845) 858-7911
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 060301 New York

Profile Details

NPI number 1760520068
LBN Legal business name Coppolo, Charles J.
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 1st, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers