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NPI Code Detail

MEDICARE: DEBRA COUGLAR

MEDICARE: DEBRA COUGLAR
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1164W00000XLicensed Practical Nurse248498NY

General Provider Information

NPI Number : 1053693457
Entity Type Code : Individual
Provider Name (Legal Business Name) : DEBRA COUGLAR
Provider Business Mailing Address
First Line : 1545 SAINT PAUL ST
Second Line :
City : ROCHESTER
State : NY
Zip : 14621-3156
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1545 SAINT PAUL ST
Second Line :
City : ROCHESTER
State : NY
Zip : 14621-3156
Country : US
Telephone Number : 585-336-5841
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/13/2011
Last Update Date : 01/11/2026

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Directions to “ DEBRA COUGLAR ” Practice Location

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