| NPI | 1841594447 |
|---|---|
| Other Name | MARY COAN |
| Entity Type | Organization |
| Authorized Contact | MARY L COAN Authorized Official 315-462-3553 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NY 214314) |
| Enumeration Date | 2010-12-23 |
| Last Update Date | 2024-09-10 |