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Durkin Shane Coughlan
Peer Specialist in Hicksville, New York
NPI 1366176711

Durkin Shane Coughlan is a Peer Specialist based in Hicksville, NY. Durkin Shane Coughlan practices in Hicksville, NY. The NPI Number for Durkin Shane Coughlan is 1366176711 and holds a License No. (New York).

The current practice location address for Durkin Shane Coughlan is 950 S Oyster Bay Rd, Hicksville, NY and can be reached out via phone at 516-822-6111.

Location: 950 S Oyster Bay Rd, Hicksville, NY, 11801-3510
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1366176711
Provider Name
Durkin Shane Coughlan
Credential
Provider Entity Type
Individual
Gender
Male
Address
950 S Oyster Bay Rd, Hicksville, NY, 11801-3510
Phone Number
516-822-6111
Fax Number
Provider Enumeration Date
07/12/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
950 S Oyster Bay Rd
City
Hicksville
State
New York
Zip
11801-3510
Phone Number
516-822-6111
Fax Number
person
Provider Business Mailing Address Details
Address
950 S Oyster Bay Rd
City
Hicksville
State
New York
Zip
11801-3510
Phone Number
516-822-6111
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
(New York)
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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