ALICE V. COGHILL M.D. NPI 1134241367

NPI Information

NPI: 1134241367
Provider Name: ALICE V. COGHILL, M.D.

Doing Business As: MIDTOWN PRIMARY CARE

Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
450 FASHION AVE
SUITE 309
NEW YORK, NY
ZIP 10123
Phone: (212) 244-4520
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ALICE V. COGHILL, M.D. is a primary care clinic center in New York, NY. ALICE V. COGHILL, M.D. NPI is 1134241367. The provider is registered as an organization entity type.
The provider Is Doing Business As Midtown Primary Care.

The provider's business location address is:

450 FASHION AVE
SUITE 309
NEW YORK, NY
ZIP 10123-101
Phone: (212) 244-4520

The provider's authorized official is Alice V. Coghill .
The authorized official title is Owner and has the following contact phone number (212) 244-4520.

The enumeration date for this NPI number is 4/6/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP2300X	Clinic/Center	Primary Care	150251	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	00938945	MEDICAID	NEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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