Coulter, Amy Hyojung

Coulter, Amy Hyojung is an individual health care provider with primary practice located at 1445 Portland Ave Vascular Surgery, Rochester NY 14621-3036. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Vascular Surgery is her primary health care specialty. Coulter, Amy Hyojung can be contacted via phone (585) 922-5550.

Contact Information

Primary practice address
1445 Portland Ave Vascular Surgery Rochester NY 14621-3036
Phone: (585) 922-5550
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 57.010858 Ohio
Allopathic & Osteopathic Physicians / Surgery 208600000X 205567 Louisiana
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 277361 New York

Profile Details

NPI number 1407053317
LBN Legal business name Coulter, Amy Hyojung
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 3rd, 2007
Last updated May 21st, 2015 - about 11 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407053317 NPPES
New York MEDICAID 04049092

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