Individual
ELIZA AUGUSTA COLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
915 BROADWAY, 7TH FLOOR, NEW YORK, NY 10010-7108
(212) 989-2990
(212) 260-3653
Mailing address
69 W 9TH ST, APARTMENT 11G, NEW YORK, NY 10011-8977
(917) 617-8345
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
02/15/2007
Last updated
07/08/2007
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