Individual
DR. VICKIE JEAN COKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
54 DOLSON AVE, MIDDLETOWN, NY 10940-6424
(845) 342-0746
(845) 342-1397
Mailing address
45 DOLSON AVE, MIDDLETOWN, NY 10940-6461
(845) 342-0746
(845) 342-1397
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
X011600
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
X011600
LICENSE
NY
Enumeration date
11/07/2008
Last updated
11/07/2008
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