Coyukiat, Judy C
Coyukiat, Judy C is an individual health care provider with primary practice located at 10 Mace Dr , Valley Cottage NY 10989-2400. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Coyukiat, Judy C can be contacted via phone (845) 268-9723.Contact Information
Primary practice address
10 Mace Dr
Valley Cottage NY 10989-2400
Phone: (845) 268-9723
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 32054 | New York |
Profile Details
| NPI number | 1619079373 |
|---|---|
| LBN Legal business name | Coyukiat, Judy C |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 2nd, 2006 |
| Last updated | Jul 8th, 2007 - about 18 years ago |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1619079373 | NPPES |
| New York | MEDICAID | 00347439 |
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