Coughlin, Sandra Mary

Coughlin, Sandra Mary is an individual health care provider with primary practice located at 33-57 Harrison St , Johnson City NY 13790-2107. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Neonatal Intensive Care, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Coughlin, Sandra Mary can be contacted via phone (315) 470-7009.

Contact Information

Primary practice address
33-57 Harrison St Johnson City NY 13790-2107
Phone: (315) 470-7009
Fax: (315) 470-2923
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Neonatal Intensive Care 163WN0002X F-350220-1 New York
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X F-350220 New York

Profile Details

NPI number 1083822027
LBN Legal business name Coughlin, Sandra Mary
Credentials NNP
Entity Individual
Sole proprietor 1 No
Enumeration date May 21st, 2007
Last updated Apr 11th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083822027 NPPES
New York Other F350220-1 LICENSE

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