Individual
AUGUST TANYELLE COLEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
226 LINDA AVE, HAWTHORNE, NY 10532-2018
(914) 773-7314
Mailing address
820 SAINT ANNS AVE, APT. #5G, BRONX, NY 10456-7885
(718) 292-0670
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
660785
NY
Other
Enumeration date
12/10/2012
Last updated
12/10/2012
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