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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 19 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 1619079373 NPPES
New York MEDICAID 00347439

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