Individual
SHERI L COATNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
1979 MARCUS AVE STE 206, LAKE SUCCESS, NY 11042
(877) 506-0002
Mailing address
P.O. BOX 280, ALLEGANY, NY 14706
(716) 378-8563
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
00001797
WA
152W00000X
Optometrist
19171-875
WI
152W00000X
Optometrist
Primary
4901003120
MI
152W00000X
Optometrist
T005579
NY
152W00000X
Optometrist
TP0P50
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00025361401
UNIVERA HEALTHCARE
NY
01
—
003900633
WNYBCBS
NY
05
—
01649476
—
NY
01
—
650
DAVIS PANEL
—
Enumeration date
10/03/2006
Last updated
06/18/2021
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