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Individual

MARY E COYLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
27 PARK AVE, FIFTH FLOOR, BINGHAMTON, NY 13903-1605
(607) 762-2251
(607) 762-2269
Mailing address
346 GRAND AVENUE, UNITED MEDICAL ASSOCIATES PC, JOHNSON CITY, NY 13790
(607) 770-0025
(607) 729-3982

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F332729
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01992869
NY
Enumeration date
11/04/2005
Last updated
09/17/2012
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