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General NPI Number Information
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NPI Number | 1992210231
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Entity Type | Organization
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Legal Business Name | CS MEDICAL ASSOCIATES, P.C.
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Dates
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Enumeration Date | 12/08/2017
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Last Update Date | 10/27/2025
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Provider Practice Location Address
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Address Line | 100 GRANNY ROAD SUITE 2
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City | FARMINGVILLE
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State | NY
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Zip | 11738
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Country | US
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Telephone | 631-696-4357
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Fax |
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Provider Business Mailing Address
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Address Line | 100 GRANNY RD STE 1
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City | FARMINGVILLE
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State | NY
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Zip | 11738-2879
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Country | US
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Telephone | 631-696-4357
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Fax | 631-846-8138
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Authorized Official
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Title or Position | CEO
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Name | PAOLO COPPOLA
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Credential | MD
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Telephone | 631-696-4357
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207QA0401X
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Taxonomy Name | Addiction Medicine (Family Medicine) Physician
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License Number |
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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License Number |
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License Number State |
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