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

Rodrick Ducroix Coaxum, MD

Individual provider General Practice Physician · NPI 1902436157

Rodrick Ducroix Coaxum, MD is a General Practice Physician in Elmira, New York. Licensed in New York. Registered with an NPI since 2020.

Licensed in
NY
In the registry since
2020
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

600 Roe Ave
Elmira, NY 14905-1629
Phone: (607) 737-4100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X
General Practice Physician Taxonomy 208D00000X · Licence P104038 (NY)

Record details

NPI number1902436157
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJanuary 16, 2020
Last updated in NPPESMarch 25, 2024
Certification dateMarch 25, 2024

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