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Nicole Coto

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

NPI number1982185658
StatusActive
Last updated in NPPESOct 2, 2018

Details

NPI
1982185658
Entity type
Individual (NPI-1)
Name
Nicole Coto
Sex
Female
Sole proprietor
No
Enumeration date
Aug 22, 2018
Last updated
Oct 2, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician Assistant––Yes

Practice location

301 E Main St
Bay Shore, NY 11706-8408

Phone 631-968-3000

Mailing address

301 E Main St
Bay Shore, NY 11706-8408

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