Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Coxsackie Family Practice

Organization Family Medicine Physician · NPI 1114116845

Coxsackie Family Practice is a Family Medicine Physician in Coxsackie, New York. Licensed in New York. Registered with an NPI since 2007.

Licensed in
NY
In the registry since
2007

Practice location Address checks out

24 Lafayette Ave
Coxsackie, NY 12051-1305
Phone: (518) 731-7777
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 169373 (NY)

Record details

NPI number1114116845
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Salvatore Licciardi — Physician · (518) 731-7777
NPI enumeratedOctober 18, 2007
Last updated in NPPESNovember 28, 2007
Mailing addressPo Box 215, Slingerlands, NY 12159-0215

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