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Organization

JOHN A. COLEMAN SCHOL

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. BLANCA F RODRIGUEZ REGISTERED NURSE (SUPERVISOR OF SCHOOL NURSING SERVIC)
(646) 459-3442
Entity
Organization

Contact information

Practice address
590 AVENUE OF THE AMERICAS, NEW YORK, NY 10011-2019
(646) 459-3442
(646) 459-3689
Mailing address
5125 69TH ST, WOODSIDE, NY 11377-7515
(718) 672-3471

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
481020
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
481020
R.N,LICENCE
NY
Enumeration date
11/17/2008
Last updated
11/17/2008
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