Provider Demographics
NPI:1598192999
Name:COTY, MAGALIE
Entity Type:Individual
Prefix:
First Name:MAGALIE
Middle Name:
Last Name:COTY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:MAGALIE
Other - Middle Name:
Other - Last Name:COTY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RN
Mailing Address - Street 1:18230 WEXFORD TER
Mailing Address - Street 2:APT 2W
Mailing Address - City:JAMAICA
Mailing Address - State:NY
Mailing Address - Zip Code:11432-3141
Mailing Address - Country:US
Mailing Address - Phone:718-526-7968
Mailing Address - Fax:
Practice Address - Street 1:13 CLEVELAND ST
Practice Address - Street 2:
Practice Address - City:VALLEY STREAM
Practice Address - State:NY
Practice Address - Zip Code:11580-6003
Practice Address - Country:US
Practice Address - Phone:516-823-0739
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-30
Last Update Date:2013-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY661302163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse