Individual
CHRISTINA C COUGHLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
5496 E TAFT RD, N SYRACUSE, NY 13212-3784
(315) 552-6700
(315) 552-6701
Mailing address
5719 WIDEWATERS PKWY, SYRACUSE, NY 13214-1985
(315) 703-3480
(315) 703-3481
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
007925-1
NY
Other
Enumeration date
05/10/2006
Last updated
11/29/2012
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