Organization
PATHWAYS TO INDEPENDENT LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN J COYLE (EXECUTIVE DIRECTOR)
(516) 746-7333
Entity
Organization
Contact information
Practice address
142 MINEOLA BLVD, SUITE 101, MINEOLA, NY 11501-3988
(516) 746-7333
(516) 746-3445
Mailing address
142 MINEOLA BLVD, SUITE 101, MINEOLA, NY 11501-3988
(516) 746-7333
(516) 746-3445
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02111466
—
NY
Enumeration date
10/27/2006
Last updated
08/22/2020
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