Individual
DANIALLE R. COYNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
17 E 102ND ST FL 4, NEW YORK, NY 10029-5204
(212) 659-8552
(212) 426-0349
Mailing address
PO BOX 28082, NEW YORK, NY 10087-8082
(212) 731-3100
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F307184
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04177262
—
NY
Enumeration date
03/06/2014
Last updated
07/16/2021
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