Provider Demographics
NPI:1245296557
Name:COPLEY, DONALD P (MD)
Entity type:Individual
Prefix:DR
First Name:DONALD
Middle Name:P
Last Name:COPLEY
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:3800 DELAWARE AVE
Mailing Address - Street 2:SUITE 106
Mailing Address - City:KENMORE
Mailing Address - State:NY
Mailing Address - Zip Code:14217-1094
Mailing Address - Country:US
Mailing Address - Phone:716-874-1772
Mailing Address - Fax:716-874-6925
Practice Address - Street 1:3800 DELAWARE AVE
Practice Address - Street 2:SUITE 106
Practice Address - City:KENMORE
Practice Address - State:NY
Practice Address - Zip Code:14217-1094
Practice Address - Country:US
Practice Address - Phone:716-874-1772
Practice Address - Fax:716-874-6925
Is Sole Proprietor?:No
Enumeration Date:2006-04-25
Last Update Date:2007-12-17
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY109170-1207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY000507329005OtherHEALTH NOW
NY00589973Medicaid
NY109170-1BOtherWORKERS COMPENSATION
NY00010035505OtherUNIVERA
NY0021748OtherGHI
NY2102744OtherIHA
NY060052392OtherRR MEDICARE
NY161000580OtherNORTH AMERICAN PREFERRED
NY161000580OtherEMPIRE
NY161000580OtherNORTH AMERICAN PREFERRED
NY000507329005OtherHEALTH NOW