Organization
LAURA COUDREY, M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAURA COUDREY M.D. (PRESIDENT)
(631) 666-2290
Entity
Organization
Contact information
Practice address
3 E MAIN ST, BAY SHORE, NY 11706-8303
(631) 666-2290
(631) 666-2283
Mailing address
3 E MAIN ST, BAY SHORE, NY 11706-8303
(631) 666-2290
(631) 666-2283
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
200075
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02263954
—
NY
Enumeration date
06/09/2006
Last updated
08/22/2020
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