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Brian R Coyle, LMSW

Counselor in Bay Shore, NY. Individual provider (NPI-1).

NPI number1669953758
StatusActive
Last updated in NPPESAug 27, 2018

Details

NPI
1669953758
Entity type
Individual (NPI-1)
Name
Brian R Coyle
Credential
LMSW
Sex
Male
Sole proprietor
No
Enumeration date
Aug 27, 2018
Last updated
Aug 27, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101Y00000X Counselor101523-1NYYes

Practice location

83 E Main St
Bay Shore, NY 11706-8305

Phone 631-666-1951

Mailing address

31 Willow Ave
Islip, NY 11751-3915

Phone 631-859-3436

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