Most Relevant Information
Provider Data
| NPI Number: | 1003433509 |
| Provider Name: | JOSEPH ANTHONY POPPA PA-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363A00000X |
| Specialty: | Physician Assistant |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/30/2020 |
| Last Updated: | 03/08/2023 |
Provider Practice Location
23 S HOWELL AVE STE OANDP
CENTEREACH
NY
117204445
Practice Location Phone/Fax
| Phone: | 6314461436 |
| Fax: |
Provider Mailing Location
23 S HOWELL AVE STE OANDP
CENTEREACH
NY
117204445
Provider Mailing Phone/Fax
| Phone: | 6314461436 |
| Fax: |