National Provider Identifier
Mary L Coan, M.D.
Mary L Coan, M.D. is listed in the NPPES registry with a primary specialty of Family Medicine Physician in Pittsford, NY and a listed phone number of (315) 462-3553.
Profile Overview
- NPI
- 1275560369
- Provider Type
- Individual
- Primary Specialty
- Family Medicine Physician
- Enumeration Date
- June 26, 2006
- Last Updated
- July 16, 2024
Practice Location
- 115 Sullys Trl Ste 4
- Pittsford, NY 14534-4571
Phone: (315) 462-3553
Specialties
- Family Medicine Physician (207Q00000X)
Full Record
- NPI
- 1275560369
- Entity Type
- Individual
- Last Name
- Coan
- First Name
- Mary
- Middle Name
- L
- Name Prefix
- Dr.
- Credential
- M.D.
- Mailing Street Address
- 115 Sullys Trl Ste 4
- Mailing City
- Pittsford
- Mailing State
- NY
- Mailing ZIP Code
- 14534-4571
- Mailing Country
- US
- Mailing Phone
- (315) 462-3553
- Mailing Fax
- (315) 462-3104
- Practice Street Address
- 115 Sullys Trl Ste 4
- Practice City
- Pittsford
- Practice State
- NY
- Practice ZIP Code
- 14534-4571
- Practice Country
- US
- Practice Phone
- (315) 462-3553
- Practice Fax
- (315) 462-3104
- Enumeration Date
- June 26, 2006
- Last Updated
- July 16, 2024
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- July 16, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Family Medicine Physician (207Q00000X)