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Organization
SHAWN COLE MD NY LLC
Active
Organization
SHAWN COLE MD NY LLC
Active
Parent organization
SHAWN COLE MD NY LLC
Other names
MDLive Medical Group of New York
Organization subpart
Yes
Provider details
NPI number
Legal business name
SHAWN COLE MD NY LLC
Authorized official
SUE-ANN ADRIANS (GP PM)
(945) 275-1345
Entity
Organization
Contact information
Practice address
900 COTTAGE GROVE RD, BLOOMFIELD, CT 06002-2920
(800) 400-6354
Mailing address
PO BOX 5006, HARTFORD, CT 06102-5006
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
—
NULL
207P00000X
Emergency Medicine Physician
—
—
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
NULL
207R00000X
Internal Medicine Physician
—
—
208000000X
Pediatrics Physician
—
NULL
208000000X
Pediatrics Physician
—
—
Other
Enumeration date
12/03/2013
Last updated
05/04/2026
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