NPI 1801217575

Thomas G Coyle

Organisation PACE Provider Organization New York, NY

Practice location

Address: 375 S End Ave Apartment 25 U, New York, NY 10280-1014
Phone: (917) 566-2313
Fax: (212) 689-7010
Mailing address: 375 South End Avenue Apartment 25 U, New York, NY 10280

Authorised official

Name: Thomas Gerard Coyle
Title: Principal
Phone: (917) 566-2313

Registered specialties

PACE Provider Organization Primary

Agencies Taxonomy 251T00000X Licence LA - 666357 (NY)

Other Program of All-Inclusive Care for the Elderly (PACE) Provider Organization providers in New York →

Registry record

NPI: 1801217575
Entity type: Organization
NPI issued: 26 Dec 2013
Record last updated: 26 Dec 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.