Individual
ALLISON ROSE COUGHLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
200 VARICK ST FL 9, NEW YORK, NY 10014-4810
(212) 620-0340
Mailing address
80 CRANBERRY ST # 2L, BROOKLYN, NY 11201-1726
(413) 378-0049
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
782525
NY
Other
Enumeration date
12/16/2020
Last updated
12/16/2020
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