Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208800000X | Urologist | F3304121 | NY |
Y | 363LF0000X | Nurse Practitioner - Family Medicine | F3304121 | NY |
NPI | 1013902931 |
---|---|
Provider Name | Mr. Peter Angelo Coggiola |
First Address | Silver Springs, NY 14550 |
Second Address | Warsaw, NY 14569 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/09/2005 |
Last Update Date | 24/03/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000570031004 | COMMUNITY BLUE (01) | NY |
01273165 | (05) | NY |
060926000008 | FIDELIS CARE NEW YORK (01) | NY |
109448FZ | PREFERRED CARE (01) | NY |
161511795 | HUMANA (01) | NY |
161511795 | NORTH AMERICAN PREFERRED (01) | NY |
161511795 | NOVA (01) | NY |
7599612 | GHI (01) | NY |
9512103 | INDEPENDENT HEALTH (01) | NY |
P00320181 | RAILROAD MEDICARE (01) | NY |
P019330412 | BLUE CHOICE (01) | NY |
S21691 | (02) | NY |