Doctor Name: | DR. PATRICIA F COYLE |
NPI Number: | 1467518951 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DSW |
License Number: | PR024620-1 |
Business Practice Address: | 115 Centershore Rd Centerport, NY - 117211346 |
Business Phone Number: | 6312619445 |
Business Fax Number: | 6317547603 |
Mailing Address: | 115 Centershore Rd, CENTERPORT |
State: | NY |
Postal Code: | 117211346 |
Phone Number: | 6312619445 |
Fax Number: | 6317547603 |
NPI Enumeration Date: | 12/29/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | PR024620-1 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |