MEDICARE: DR. RODNEY P COE MD, MS

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
1	207W00000X	Ophthalmology Physician	250262	NY
2	207W00000X	Ophthalmology Physician	MD439574	PA
3	207WX0107X	Retina Specialist (Ophthalmology) Physician	250262	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1003972548
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RODNEY P COE MD, MS

Provider Business Mailing Address
First Line	:	2391 BELL BLVD STE 204
Second Line	:
City	:	BAYSIDE
State	:	NY
Zip	:	11360-2019
Country	:	US
Telephone Number	:	646-828-8660
Fax Number	:	718-764-6296

Provider Business Practice Location Address
First Line	:	2391 BELL BLVD STE 204
Second Line	:
City	:	BAYSIDE
State	:	NY
Zip	:	11360-2019
Country	:	US
Telephone Number	:	646-828-8660
Fax Number	:	718-764-6296

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/29/2006
Last Update Date	:	11/10/2023

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