Individual
NICOLE THERESA COYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
241 NORTH RD, POUGHKEEPSIE, NY 12601-1154
(845) 483-5000
Mailing address
19 BRADHURST AVE STE 3100N, HAWTHORNE, NY 10532-2140
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
022258
NY
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
07/18/2018
Last updated
01/18/2024
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