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Individual

SHAUNA COKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
11 CRUM ELBOW RD, HYDE PARK, NY 12538-2852
(845) 229-1020
Mailing address
123 W 124TH ST, NEW YORK, NY 10027-4920

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
F3374881
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
401967
NY

Other

Enumeration date
03/16/2013
Last updated
07/22/2025
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