Individual
DR. JUDY C COYUKIAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
10 MACE DR, VALLEY COTTAGE, NY 10989-2400
(845) 268-9723
Mailing address
10 MACE DR, VALLEY COTTAGE, NY 10989-2400
(845) 268-9723
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
32054
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00347439
—
NY
Enumeration date
09/02/2006
Last updated
07/08/2007
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