Individual
STEPHEN F COCCARO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD.
Contact information
Practice address
179 BELLE MEADE ROAD SUITE 1, EAST SETAUKET, NY 11733
(631) 751-4400
(631) 689-2375
Mailing address
179 BELLE MEADE ROAD SUITE 1, EAST SETAUKET, NY 11733
(631) 751-4400
(631) 689-2375
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
187086
NY
2082S0105X
Surgery of the Hand (Plastic Surgery) Physician
187086
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01423885
—
NY
Enumeration date
08/20/2006
Last updated
02/12/2020
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