Individual provider · Type 1 NPI

Emerth Lance Coburn, MD

Family Medicine Physician · Queens Village, NY

NPI number 1477544096 Active

Practice location

21401 110th Ave
Queens Village, NY 11429-1906

Fax (718) 276-4783

Mailing address

214-01 110th Avenue
Queens Village, NY 11429

Specialties and licenses

TaxonomyCodeLicense
Internal Medicine Physician 207R00000X198832 (NY)
Family Medicine Physician Primary 207Q00000X198832 (NY)

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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About NPI 1477544096

Emerth Lance Coburn, MD's National Provider Identifier is 1477544096, issued on Nov 2, 2005. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Queens Village, NY. The record was last updated on Mar 5, 2025.