Individual
MS. CAROL A. COLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW-R
Contact information
Practice address
142 BIDWELL PKWY, BUFFALO, NY 14222-1164
(716) 886-1142
(716) 886-0016
Mailing address
142 BIDWELL PKWY, BUFFALO, NY 14222-1164
(716) 886-1142
(716) 886-0016
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
PR022415-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00027408401
UNIVERA HEALTH CARE
NY
01
—
000528386001
BLUE CROSS BLUE SHIELD
NY
01
—
6290569
INDEPENDENT HEALTH
NY
Enumeration date
03/15/2007
Last updated
07/08/2007
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