Individual
MR. JOSEPH P. COYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
12 E 87TH ST APT 6A, NEW YORK, NY 10128-0549
(917) 650-7261
Mailing address
12 E 87TH ST APT 6A, NEW YORK, NY 10128-0549
(917) 650-7261
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA1004646
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8399214
—
WA
01
—
G8873749
VMMC MEDICARE NUMBER
WA
Enumeration date
10/13/2005
Last updated
08/05/2026
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