# MIGUEL COBA MD, P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1447905542
- **Authorized official:** DR. MIGUEL A COBA JR. MD (OWNER)
- **Authorized official phone:** (201) 463-2383

## Contact information

- **Practice address:** 24 BRADLEY AVE, STATEN ISLAND, NY 10314-4403
- **Practice address phone:** (718) 475-6859
- **Practice address fax:** (718) 667-4997
- **Mailing address:** 24 BRADLEY AVE, STATEN ISLAND, NY 10314-4403
- **Mailing address phone:** (718) 475-6859
- **Mailing address fax:** (718) 667-4997

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/16/2022
- **Last updated:** 02/16/2022