Provider Demographics
NPI:1568868677
Name:COYE, MARCIA ANN (LPN)
Entity Type:Individual
Prefix:MS
First Name:MARCIA
Middle Name:ANN
Last Name:COYE
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1062 STATE ROUTE 26
Mailing Address - Street 2:
Mailing Address - City:GEORGETOWN
Mailing Address - State:NY
Mailing Address - Zip Code:13072-6615
Mailing Address - Country:US
Mailing Address - Phone:315-580-2246
Mailing Address - Fax:
Practice Address - Street 1:1062 STATE ROUTE 26
Practice Address - Street 2:
Practice Address - City:GEORGETOWN
Practice Address - State:NY
Practice Address - Zip Code:13072-6615
Practice Address - Country:US
Practice Address - Phone:315-580-2246
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-11-17
Last Update Date:2014-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY231806-1164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse