Individual
MICHAEL ANTHONY COUCH JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
4011 ARROWHEAD LN, LIVERPOOL, NY 13090-2821
(315) 409-4165
(315) 409-4165
Mailing address
4011 ARROWHEAD LN, LIVERPOOL, NY 13090-2821
(315) 839-5575
(315) 839-5587
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
N005821-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02165644
—
NY
Enumeration date
06/06/2006
Last updated
07/25/2013
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