Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Coppernoll Medical Practice PLLC

Organization Family Medicine Physician · NPI 1750796173

Coppernoll Medical Practice PLLC is a Family Medicine Physician in Wampsville, New York. Registered with an NPI since 2014.

In the registry since
2014
Specialties on file
2
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

101 Madison Ave
Wampsville, NY 13163-7777
Phone: (315) 761-6770
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
General Practice Physician Taxonomy 208D00000X

Record details

NPI number1750796173
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Randolph Snow — Owner · (315) 761-6770
NPI enumeratedJune 24, 2014
Last updated in NPPESOctober 24, 2014
Mailing address101 Madison Ave, Wampsville, NY 13163-7777