Individual
GRACE COYLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
295 ESSJAY RD, WILLIAMSVILLE, NY 14221-5795
(716) 630-1151
(716) 250-5997
Mailing address
425 ESSJAY RD STE 170, WILLIAMSVILLE, NY 14221-8235
(716) 630-1219
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
F347115
NY
363LF0000X
Family Nurse Practitioner
Primary
347115
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06693223
—
NY
Enumeration date
07/19/2021
Last updated
03/12/2026
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