Individual
BELLA VIRGINIA COAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
100 PORT WASHINGTON BLVD, ROSLYN, NY 11576-1347
(516) 562-6000
Mailing address
9 ANITA DR, SAYVILLE, NY 11782-2801
(631) 375-3858
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
033375
NY
Other
Enumeration date
02/21/2025
Last updated
02/21/2025
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