Individual
BETH MARIANNE COFINI-MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
23 WILLOW PL, LAKE PEEKSKILL, NY 10537-1549
(914) 526-4359
Mailing address
23 WILLOW PL, LAKE PEEKSKILL, NY 10537-1549
(914) 526-4359
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
317967-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00883101
—
NY
Enumeration date
07/22/2007
Last updated
07/22/2007
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