Individual provider · Type 1 NPI

Candace Coakley-Assefa

Registered Nurse · Bay Shore, NY

NPI number 1083525232 Active

Practice location

250 E Main St
Bay Shore, NY 11706-8442

Fax (631) 665-0172

Mailing address

38 Timber Ridge Dr
Holbrook, NY 11741-4148

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse Primary 163W00000X616776 (NY)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1083525232

Candace Coakley-Assefa's National Provider Identifier is 1083525232, issued on Sep 16, 2026. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Bay Shore, NY. The record was last updated on Sep 16, 2026.