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Rodrick Ducroix Coaxum, MD
Student in an Organized Health Care Education/Training Program in Elmira, New York
NPI 1902436157

Rodrick Ducroix Coaxum is a Student in an Organized Health Care Education/Training Program based in Elmira, NY. Rodrick Ducroix Coaxum practices in Elmira, NY and has the professional credentials of MD. The NPI Number for Rodrick Ducroix Coaxum is 1902436157 and holds a License No. P104038 (New York).

The current practice location address for Rodrick Ducroix Coaxum is 600 Roe Ave, Elmira, NY and can be reached out via phone at 607-737-4100. You can also correspond with Rodrick Ducroix Coaxum through the mailing address at 600 ROE AVE, ELMIRA, NY - 14905-1629 (mailing address contact number: 607-737-4100).

Location: 600 Roe Ave, Elmira, NY, 14905-1629
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1902436157
Provider Name
Rodrick Ducroix Coaxum
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
600 Roe Ave, Elmira, NY, 14905-1629
Phone Number
607-737-4100
Fax Number
Provider Enumeration Date
01/16/2020
Last Update Date
04/13/2024
institution
Provider Business Practice Location Address Details
Address
600 Roe Ave
City
Elmira
State
New York
Zip
14905-1629
Phone Number
607-737-4100
Fax Number
person
Provider Business Mailing Address Details
Address
600 Roe Ave
City
Elmira
State
New York
Zip
14905-1629
Phone Number
607-737-4100
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
P104038 (New York)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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