Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | 187086 | NY |
Y | 208600000X | Surgeon | 187086 | NY |
N | 2082S0105X | Plastic Hand Surgeon | 187086 | NY |
NPI | 1720193774 |
---|---|
Provider Name | Stephen F Coccaro |
First Address | East Setauket, NY 11733 |
Second Address | East Setauket, NY 11733 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/08/2006 |
Last Update Date | 12/02/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01423885 | (05) | NY |
E53205 | (02) | NY |