DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. EMERTH LANCE COBURN, MD

Active Sole Proprietor

DR. EMERTH LANCE COBURN, MD is a Family Medicine healthcare provider located in QUEENS VILLAGE, New York. NPI 1477544096 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · QUEENS VILLAGE, NY

Registration Details

NPI Number
1477544096
Provider Type
Individual
Gender
Male
NPI Issued
Nov 2, 2005 (20.797265919854 yrs)
Last Updated
Mar 5, 2025
Licenses
198832 (NY)
198832 (NY)
Sole Proprietor
Yes

Practice Information

Address
21401 110TH AVE
QUEENS VILLAGE, NY, 114291906
Browse NY providers · Browse ZIP 11429
Phone
9296156447
Fax
7182764783
Primary Specialty
Family Medicine
207Q00000X
Additional Specialty
Family Medicine

Other Family Medicine Providers in QUEENS VILLAGE, NY

Name Credential NPI
NAZNEEN KHALID MD 1982610028
NEELA K PATEL M.D. 1013017193
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.