Individual
MRS. BERNADETTE ANN COYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA CCC/SLP
Contact information
Practice address
3641 COOPER STREET, MOHEGAN LAKE, NY 10547
(914) 743-1346
Mailing address
3641 COOPER STREET, MOHEGAN LAKE, NY 10547
(914) 743-1346
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
015620-1
NY
Other
Enumeration date
10/26/2011
Last updated
01/07/2013
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