Jennifer E Coyle | Middletown, NY • PECOS Search

Jennifer E Coyle

Specialist

Other Service Providers

75 Crystal Run Rd Ste 201, Middletown, NY 10941-7010

(845) 692-4391 (914) 588-1565

PECOS Enrollment

Based on the most recent information from CMS, provider Jennifer E Coyle does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 5 days ago.

Profile Details

Provider ID
1346502499
Provider Type
Individual
Full Name
Coyle, Jennifer E
Title
Mrs.
Credential
LCSW, MSSPED

Gender
Female
Sole Proprietor
Yes
Enumeration Date
6/14/2012
Last Updated
9/18/2024

Contact Information

Practice Location

75 Crystal Run Rd Ste 201, Middletown, NY 10941-7010

(845) 692-4397

Mailing Location

506 Black Meadow Rd, Chester, NY 10918-2236

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 174400000X Primary	Description Specialist Other Service Providers	License 1281791 New York
Code 1041C0700X	Description Social Worker Behavioral Health & Social Service Providers	License 074468-1 New York