Carol Coy, NP | |
4201 Buffalo Road, Suite 1, North Chili, NY 14514-1256 | |
(585) 594-5995 | |
(585) 594-5425 |
Full Name | Carol Coy |
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Gender | Female |
Speciality | Nurse Practitioner |
Location | 4201 Buffalo Road, Suite 1, North Chili, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1841304656 | NPI | - | NPPES |
02076777 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | F400521-01 (New York) | Primary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | F400521-1 (New York) | Secondary |
Entity Name | Churchville-chili Family Medicine Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1326231291 PECOS PAC ID: 5294957874 Enrollment ID: O20141114001670 |
Mailing Address | Practice Location Address |
---|---|
Carol Coy, NP Po Box 505, North Chili, NY 14514-0505 Ph: (585) 594-5995 | Carol Coy, NP 4201 Buffalo Road, Suite 1, North Chili, NY 14514-1256 Ph: (585) 594-5995 |
Mrs. Blessing Akudo Ibezim, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 37 Gilead Hill Rd, North Chili, NY 14514 Phone: 585-729-5363 | |
Allissa L Massey, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4201 Buffalo Road, Suite 1, North Chili, NY 14514 Phone: 585-594-5995 Fax: 585-594-5995 | |
Mrs. Crystal Bateman, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4415 Buffalo Rd, Suite 1b, North Chili, NY 14514 Phone: 585-594-9254 Fax: 585-594-9233 |