Individual
CAROL COLEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
22909 141ST AVE, LAURELTON, NY 11413-2916
(718) 809-1084
Mailing address
22909 141ST AVE, LAURELTON, NY 11413-2916
(718) 809-1084
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
454265-01
NY
Other
Enumeration date
06/01/2021
Last updated
06/01/2021
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