| Coaching For Life | |
|
475 E Main St Ste 211 Patchogue NY 11772-3121 | |
| (631) 569-4646 | |
| Not Available |
| Full Name | Coaching For Life |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 475 E Main St, Patchogue, New York |
| Authorized Official Name and Position | Debra Coane (OFFICE MANAGER) |
| Authorized Official Contact | 6316814754 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Coaching For Life 22 Viking Dr West Islip NY 11795-5046 Ph: () - | Coaching For Life 475 E Main St Ste 211 Patchogue NY 11772-3121 Ph: (631) 569-4646 |
| NPI Number | 1508264086 |
|---|---|
| Provider Enumeration Date | 12/15/2014 |
| Last Update Date | 12/15/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508264086 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 082048 (New York) | Primary |
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