Individual
DR. PAUL ENSOM COYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DNP, AGPCNP-BC
Contact information
Practice address
535 E 70TH ST FL 8, NEW YORK, NY 10021-4823
(212) 774-2036
Mailing address
535 E 70TH ST, NEW YORK, NY 10021-4898
(212) 774-2036
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
672363
NY
363LA2200X
Adult Health Nurse Practitioner
Primary
307197
NY
Other
Enumeration date
03/04/2014
Last updated
04/02/2021
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