Individual
ROBERT COUDREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
27 CHESTNUT LN, NEWBURGH, NY 12550-2008
(845) 518-2795
Mailing address
27 CHESTNUT LN, NEWBURGH, NY 12550-2008
(845) 518-2795
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
000230-1
NY
Other
Enumeration date
10/14/2014
Last updated
10/14/2014
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