| NPI | 1295150142 |
|---|---|
| Former Name | NICOLETTE COYNE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NY 016467) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA OA003024) |
| Enumeration Date | 2014-03-02 |
| Last Update Date | 2017-04-18 |