Most Relevant Information
Provider Data
| NPI Number: | 1003196171 |
| Provider Name: | MARA COFLER -KOLDORFF MD |
| Entity Type: | Individual |
| Taxonomy Code: | 207Q00000X |
| Specialty: | Family Medicine |
| License Number: | 262673 |
Most Important Dates
| Enumeration Date: | 08/22/2011 |
| Last Updated: | 08/22/2011 |
Provider Practice Location
2915 SUNRISE HWY
ISLIP TERRACE
NY
117522716
Practice Location Phone/Fax
| Phone: | 6314461006 |
| Fax: | 6314461009 |
Provider Mailing Location
2915 SUNRISE HWY
ISLIP TERRACE
NY
117522716
Provider Mailing Phone/Fax
| Phone: | 6314461006 |
| Fax: | 6314461009 |
Suggested EMR
Family Practice EMR