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Organization

CHARLES F COYLE JR DPM

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CHARLES F COYLE JR. DPM (OWNER PODIATRIST)
(585) 654-8910
Entity
Organization

Contact information

Practice address
555 N WINTON RD, ROCHESTER, NY 14610
(585) 654-8910
(585) 654-8922
Mailing address
555 N WINTON RD, ROCHESTER, NY 14610
(585) 654-8910
(585) 654-8922

Taxonomy

Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
N002374
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00418204
NY
Enumeration date
03/18/2008
Last updated
03/18/2008
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