Individual
MR. GERALD HENRY COLERN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
N.P.
Contact information
Practice address
1540 MAPLE RD, WILLIAMSVILLE, NY 14221-3647
(716) 568-3514
Mailing address
56 TYLER ST, DEPEW, NY 14043-2308
(716) 553-1514
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
7107375
NY
Other
Enumeration date
07/12/2010
Last updated
07/12/2010
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