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Individual

MRS. DONNA P COULES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
P.A

Contact information

Practice address
222 ROCKAWAY TPKE, SUITE 1, CEDARHURST, NY 11516-1833
(516) 239-1800
(516) 239-5553
Mailing address
2499 FARMERS AVE, BELLMORE, NY 11710-3814
(516) 809-5415

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
004339
NY

Other

Enumeration date
11/04/2010
Last updated
11/04/2010
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