Provider Demographics
NPI:1386832384
Name:CODER, WILLIAM A (LMT)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:A
Last Name:CODER
Suffix:
Gender:M
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:3435 HARLEM RD
Mailing Address - Street 2:SUITE 7
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14225-2021
Mailing Address - Country:US
Mailing Address - Phone:716-417-7577
Mailing Address - Fax:716-836-1568
Practice Address - Street 1:3435 HARLEM RD
Practice Address - Street 2:SUITE 7
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14225-2021
Practice Address - Country:US
Practice Address - Phone:716-417-7577
Practice Address - Fax:716-836-1568
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-04
Last Update Date:2007-10-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY018742-1225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist