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NPI Code Detail

MEDICARE: DR. JESSICA COYER PSY.D.

MEDICARE: DR. JESSICA COYER PSY.D.
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
1103T00000XPsychologist

General Provider Information

NPI Number : 1649261140
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JESSICA COYER PSY.D.
Provider Business Mailing Address
First Line : 32 DEVON RD
Second Line :
City : BETHPAGE
State : NY
Zip : 11714-1107
Country : US
Telephone Number : 516-650-4600
Fax Number :
Provider Business Practice Location Address
First Line : 2277 GRAND AVE
Second Line :
City : BALDWIN
State : NY
Zip : 11510-3148
Country : US
Telephone Number : 516-546-1370
Fax Number : 516-546-1028
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/02/2005
Last Update Date : 03/09/2026

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