Individual
ANDREA COLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
101 COBB ST, TONAWANDA, NY 14150-7950
(716) 565-3626
Mailing address
25 WEBER AVE, BUFFALO, NY 14215-3914
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
00603973
NY
Other
Enumeration date
02/24/2010
Last updated
02/24/2010
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