Thomas G Coyle

NPI #1801217575 in New York, New York

Provider Information

NPI Number: 1801217575
Entity Type: Organization
Organization Name: Thomas G Coyle
Primary Specialty: Program of All-Inclusive Care for the Elderly (PACE) Provider Organization
Enumeration Date: Dec 26, 2013
Last Updated: Dec 26, 2013

Practice Location

Address: 375 S END AVE
Address 2: APARTMENT 25 U
City: New York
State: New York
ZIP Code: 10280-1014
Phone: (917) 566-2313

Authorized Official

Name: MR. THOMAS GERARD COYLE
Title: PRINCIPAL
Phone: (917) 566-2313

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Program of All-Inclusive Care for the Elderly (PACE) Provider Organization	251T00000X	Primary

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