Individual
DAKOTA ROSE COLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
7020 ERIE RD, DERBY, NY 14047-9306
(716) 947-4545
(716) 947-4545
Mailing address
7020 ERIE RD, DERBY, NY 14047-9306
(716) 947-4545
(716) 947-4545
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F345547
NY
Other
Enumeration date
06/25/2020
Last updated
06/25/2020
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