Individual
DR. JEFFREY LEWIS COLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10615 QUEENS BLVD, FOREST HILLS, NY 11375-4365
(718) 261-6366
(718) 263-3427
Mailing address
42 WIMBLETON LN, GREAT NECK, NY 11023-1347
(516) 487-1648
(516) 482-7253
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
25MA07954300
NJ
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
141612
NY
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
25MA07954300
NJ
Other
Enumeration date
08/10/2005
Last updated
04/01/2011
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