Organization
THOMAS G COYLE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS GERARD COYLE (PRINCIPAL)
(917) 566-2313
Entity
Organization
Contact information
Practice address
375 S END AVE, APARTMENT 25 U, NEW YORK, NY 10280-1014
(917) 566-2313
(212) 689-7010
Mailing address
375 SOUTH END AVENUE, APARTMENT 25 U, NEW YORK, NY 10280
(917) 566-2313
(212) 689-7010
Taxonomy
Speciality
Code
Description
License number
State
251T00000X
PACE Provider Organization
Primary
LA - 666357
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LA - 666357
LIFE HEALTH ACCIDENT LICENSE
NY
Enumeration date
12/26/2013
Last updated
12/26/2013
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