Individual
JAMES COONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1425 PORTLAND AVE, ROCHESTER, NY 14621-3001
(585) 922-3846
Mailing address
159 MASON RD, FAIRPORT, NY 14450-9541
(585) 755-4314
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
0141851
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03282717
—
NY
Enumeration date
09/17/2010
Last updated
02/01/2011
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