Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225100000X | Physical Therapist | 0295431 | NY |
N | 2251C2600X | Cardiopulmonary | 0295431 | NY |
N | 2251E1200X | Ergonomics | 0295431 | NY |
N | 225XE1200X | Ergonomics | 0295431 | NY |
N | 2251E1300X | Electrophysiology, Clinical | 0295431 | NY |
N | 2251G0304X | Physical Therapist - Geriatrics | 0295431 | NY |
N | 2251H1200X | Hand | 0295431 | NY |
N | 2251H1300X | Human Factors | 0295431 | NY |
N | 225XH1300X | Human Factors | 0295431 | NY |
N | 2251N0400X | Physical Therapist - Neurology | 0295431 | NY |
N | 2251P0200X | Physical Therapist - Pediatrics | 0295431 | NY |
N | 2251S0007X | Physical Therapist - Sports | 0295431 | NY |
N | 2251X0800X | Physical Therapist - Orthopedic | 0295431 | NY |
NPI | 1265674063 |
---|---|
Provider Name | Dr. William P Coughlin |
First Address | Hauppauge, NY 11788-1007 |
Second Address | Hauppauge, NY 11788-1007 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 25/03/2009 |
Last Update Date | 25/03/2009 |