Individual
MS. GRACE COONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
399 ALBANY SHAKER RD, LOUDONVILLE, NY 12211-1961
(518) 434-9759
Mailing address
253 5TH AVE, TROY, NY 12182-3310
(518) 268-3220
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
340846
NY
Other
Enumeration date
07/16/2016
Last updated
07/16/2016
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