Provider Demographics
NPI:1437723236
Name:THE COIT HOUSE LLC
Entity Type:Organization
Organization Name:THE COIT HOUSE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MAURA
Authorized Official - Middle Name:JOAN
Authorized Official - Last Name:WINKLER
Authorized Official - Suffix:
Authorized Official - Credentials:CNM
Authorized Official - Phone:716-799-3290
Mailing Address - Street 1:414 VIRGINIA ST
Mailing Address - Street 2:
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14201-2023
Mailing Address - Country:US
Mailing Address - Phone:716-427-4541
Mailing Address - Fax:716-436-5037
Practice Address - Street 1:414 VIRGINIA ST
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14201-2023
Practice Address - Country:US
Practice Address - Phone:716-427-4541
Practice Address - Fax:716-436-5037
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-17
Last Update Date:2021-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QB0400XAmbulatory Health Care FacilitiesClinic/CenterBirthing