Individual
BRIAN R COYLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
83 E MAIN ST, BAY SHORE, NY 11706-8305
(631) 666-1951
Mailing address
31 WILLOW AVE, ISLIP, NY 11751-3915
(631) 859-3436
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
101523-1
NY
Other
Enumeration date
08/27/2018
Last updated
08/27/2018
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