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Individual
STEPHANIE COYLE
Active
Individual
STEPHANIE COYLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
097465
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00355940
MEDICAID
NY
01
—
1285628552
MEDICAID
NY
01
—
WVE061
MEDICARE
NY
Enumeration date
10/31/2012
Last updated
04/27/2016
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