Individual
MR. JACK F COLEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.AC.
Contact information
Practice address
30 HEMPSTEAD AVE, SUITE H7, ROCKVILLE CENTRE, NY 11570-4033
(516) 536-1249
(516) 252-9177
Mailing address
69 WHITEHALL RD, ROCKVILLE CENTRE, NY 11570-3245
(516) 255-1757
(516) 740-5860
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
001094
NY
Other
Enumeration date
02/05/2007
Last updated
03/29/2017
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