Individual
DR. RUSSELL S. COATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
2094 PITKIN AVE, BROOKLYN, NY 11207-3509
(718) 240-0445
Mailing address
2094 PITKIN AVE, BROOKLYN, NY 11207-3509
(718) 240-0445
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV007575
NY
Other
Enumeration date
07/20/2010
Last updated
07/20/2010
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