Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0120X | Pediatric Surgery | 254071 | NY |
NPI | 1497914675 |
---|---|
Provider Name | Dr. Brian Arrinza Coakley |
First Address | New York, NY 10128-1739 |
Second Address | New York, NY 10029 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/06/2008 |
Last Update Date | 21/07/2017 |