Provider Demographics
NPI:1699558932
Name:COY, ANDREW T (PT, DPT)
Entity type:Individual
Prefix:
First Name:ANDREW
Middle Name:T
Last Name:COY
Suffix:
Gender:M
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6970 SUZANNE CT
Mailing Address - Street 2:
Mailing Address - City:SCHENECTADY
Mailing Address - State:NY
Mailing Address - Zip Code:12303-5285
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:USS RONALD REAGAN
Practice Address - Street 2:UNIT 100197
Practice Address - City:FPO
Practice Address - State:AP
Practice Address - Zip Code:96616
Practice Address - Country:US
Practice Address - Phone:518-847-8592
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-18
Last Update Date:2023-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1382410225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist