Individual
MR. PETER ANGELO COGGIOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSN, NP
Contact information
Practice address
39 DUNCAN ST, WARSAW, NY 14569-1017
(585) 786-0190
(585) 786-0196
Mailing address
4470 JORDAN ROAD, SILVER SPRINGS, NY 14550
(614) 484-8101
(505) 468-9629
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
F3304121
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F402728
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000570031004
COMMUNITY BLUE
NY
05
—
01273165
—
NY
01
—
060926000008
FIDELIS CARE NEW YORK
NY
01
—
109448FZ
PREFERRED CARE
NY
01
—
161511795
NOVA
NY
01
—
7599612
GHI
NY
01
—
9512103
INDEPENDENT HEALTH
NY
01
—
P00320181
RAILROAD MEDICARE
NY
01
—
P019330412
BLUE CHOICE
NY
Enumeration date
09/16/2005
Last updated
12/08/2022
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