Healthcare Provider Details

I. General information

NPI: 1982111522
Provider Name (Legal Business Name): ERNEST COTE MHC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/04/2018
Last Update Date: 11/07/2024
Certification Date: 11/07/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

117 DOBBIN ST
BROOKLYN NY
11222-5502
US

IV. Provider business mailing address

117 DOBBIN ST
BROOKLYN NY
11222-5502
US

V. Phone/Fax

Practice location:
  • Phone: 646-789-5491
  • Fax:
Mailing address:
  • Phone: 646-789-5491
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberP03871
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: