Provider Demographics
NPI:1306189592
Name:COFFEY, EOIN FRANCIS (RN)
Entity Type:Individual
Prefix:
First Name:EOIN
Middle Name:FRANCIS
Last Name:COFFEY
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 OCEAN PKWY
Mailing Address - Street 2:6B
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11218-1755
Mailing Address - Country:US
Mailing Address - Phone:917-561-1085
Mailing Address - Fax:
Practice Address - Street 1:100 OCEAN PKWY
Practice Address - Street 2:6B
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11218-1755
Practice Address - Country:US
Practice Address - Phone:917-561-1085
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-04-05
Last Update Date:2013-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY669563163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse