Individual
DALE A COFFIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
776 GRAND TERRACE AVE, NORTH BALDWIN, NY 11510-1421
(516) 637-2544
Mailing address
776 GRAND TERRACE AVE, NORTH BALDWIN, NY 11510-1421
(516) 637-2544
Taxonomy
Speciality
Code
Description
License number
State
225XF0002X
Feeding, Eating & Swallowing Occupational Therapist
006511
NY
225XP0200X
Pediatric Occupational Therapist
Primary
006511
NY
Other
Enumeration date
11/06/2008
Last updated
11/06/2008
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