Individual
BETH E. COLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
7901 BROADWAY, ELMHURST, NY 11373-1329
(718) 334-4000
(718) 334-5006
Mailing address
7901 BROADWAY, D1-04, ELMHURST, NY 11373-1329
(718) 334-3314
(718) 334-5006
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
090180
NY
1041C0700X
Clinical Social Worker
Primary
086634
NY
Other
Enumeration date
07/15/2016
Last updated
01/02/2020
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