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Organization

ADRA MEDICAL PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. NICOLE COFFARO (OPERATIONS MANAGER)
(631) 828-4545
Entity
Organization

Contact information

Practice address
1050 OLD NICHOLS RD, ISLANDIA, NY 11749-5026
(631) 828-4545
(631) 209-5783
Mailing address
1050 OLD NICHOLS RD, ISLANDIA, NY 11749-5026
(631) 828-4545
(631) 209-5783

Taxonomy

Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary

Other

Enumeration date
07/14/2025
Last updated
07/14/2025
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