SearchNew York163W00000X

John Coughlin

NPI 1528526407 · on the registry since 2019 · sole proprietor

Practice

Address
124 Wright Ave
Deer Park, NY 11729
Phone
(631) 848-5745

Registry record

Primary taxonomy
163W00000X
163W00000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2019-03-09

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York