Individual
AQUILAH SAMIRA COLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
255 LAWRENCE AVE UNIT 30, INWOOD, NY 11096-1503
(516) 581-0320
Mailing address
255 LAWRENCE AVE UNIT 30, INWOOD, NY 11096-1503
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
06/28/2019
Last updated
06/28/2019
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