MEDICARE: MR. CHARLES E. COTE LCSW

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	1041C0700X	Clinical Social Worker	R034370	NY

General Provider Information

NPI Number	:	1578643706
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. CHARLES E. COTE LCSW

Provider Business Mailing Address
First Line	:	2480 BROWNCROFT BLVD STE 256
Second Line	:
City	:	ROCHESTER
State	:	NY
Zip	:	14625-1435
Country	:	US
Telephone Number	:	585-383-8338
Fax Number	:	585-296-8085

Provider Business Practice Location Address
First Line	:	2480 BROWNCROFT BLVD STE 256
Second Line	:
City	:	ROCHESTER
State	:	NY
Zip	:	14625-1435
Country	:	US
Telephone Number	:	585-383-8338
Fax Number	:	585-296-8085

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

Provider Enumeration Date	:	10/16/2006
Last Update Date	:	08/02/2023

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