Provider Demographics
NPI:1396516522
Name:CORE COPING, LLC
Entity type:Organization
Organization Name:CORE COPING, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DANA
Authorized Official - Middle Name:MARGARET
Authorized Official - Last Name:OSOWIECKI
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:401-527-8617
Mailing Address - Street 1:789 PARK AVE
Mailing Address - Street 2:
Mailing Address - City:CRANSTON
Mailing Address - State:RI
Mailing Address - Zip Code:02910-2036
Mailing Address - Country:US
Mailing Address - Phone:401-527-8617
Mailing Address - Fax:
Practice Address - Street 1:789 PARK AVE
Practice Address - Street 2:
Practice Address - City:CRANSTON
Practice Address - State:RI
Practice Address - Zip Code:02910-2036
Practice Address - Country:US
Practice Address - Phone:401-421-4561
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-16
Last Update Date:2024-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center