Individual
DEBRA MARIE COLEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1 GUSTAVE L LEVY PL, ANESTHESIOLOGY - BOX 1010, NEW YORK, NY 10029-6574
(800) 627-4470
(770) 666-9341
Mailing address
PO BOX 12023, NEWARK, NJ 07101-5023
(212) 427-2666
(212) 289-6929
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
262726
MA
367500000X
Certified Registered Nurse Anesthetist
262726
MA
367500000X
Certified Registered Nurse Anesthetist
Primary
633563
NY
Other
Enumeration date
10/03/2009
Last updated
09/14/2010
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