Individual
ALEXANDRA COLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
16 CHATHAM DR, OAKDALE, NY 11769-1402
(631) 456-1311
Mailing address
16 CHATHAM DR, OAKDALE, NY 11769-1402
(631) 456-1311
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
323522
NY
Other
Enumeration date
04/06/2018
Last updated
04/06/2018
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