Organization
SHAWN COLE MD NY LLC
Active
Parent organization
SHAWN COLE MD NY LLC
Other names
MDLive Medical Group of New York
Organization subpart
Yes
Provider details
NPI number
Legal business name
SHAWN COLE MD NY LLC
Authorized official
SUE-ANN ADRIANS (GP PM)
(945) 275-1345
Entity
Organization
Contact information
Practice address
900 COTTAGE GROVE RD, BLOOMFIELD, CT 06002-2920
(800) 400-6354
Mailing address
PO BOX 5006, HARTFORD, CT 06102-5006
(800) 400-6354
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
103T00000X
Psychologist
—
—
104100000X
Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
10/26/2022
Last updated
05/04/2026
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