Durkin Shane Coughlan
Durkin Shane Coughlan is a Peer Specialist in Hicksville, New York. Licensed in New York. Registered with an NPI since 2022.
- Licensed in
- NY
- In the registry since
- 2022
Practice location Address checks out
950 S Oyster Bay RdHicksville, NY 11801-3510
Phone: (516) 822-6111
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Specialties & licences
| Peer Specialist (primary) | Taxonomy 175T00000X (NY) |
|---|
Record details
| NPI number | 1366176711 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | July 12, 2022 |
| Last updated in NPPES | July 15, 2022 |
| Certification date | July 15, 2022 |
| Mailing address | 950 S Oyster Bay Rd, Hicksville, NY 11801-3510 |
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