Individual
DR. EMERTH LANCE COBURN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
21401 110TH AVE, QUEENS VILLAGE, NY 11429-1906
(929) 615-6447
(718) 276-4783
Mailing address
214-01 110TH AVENUE, QUEENS VILLAGE, NY 11429
(718) 276-4482
(718) 276-4783
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
198832
NY
207R00000X
Internal Medicine Physician
198832
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01617674
—
NY
Enumeration date
11/02/2005
Last updated
03/05/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us