Individual
COLEEN MCCOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1400 PELHAM PKWY S, BRONX, NY 10461-1138
(718) 918-6375
Mailing address
119A S 9TH AVE, MT VERNON, NY 10550-3018
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
F350069
NY
Other
Enumeration date
11/06/2006
Last updated
07/08/2007
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