Individual
PAOLO LUIS COQUILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9701 101ST AVE, JAMAICA, NY 11416-2523
(917) 891-3177
Mailing address
9701 101ST AVE, JAMAICA, NY 11416-2523
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
052009
NY
Other
Enumeration date
06/27/2026
Last updated
06/27/2026
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