Individual
DR. LANDON M COLEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DNP, PMHNP-BC
Contact information
Practice address
1199 PARK AVE APT 1C, NEW YORK, NY 10128-1712
(212) 828-7473
Mailing address
1199 PARK AVE APT 1C, NEW YORK, NY 10128-1712
(201) 986-6626
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
2372804
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
AP135672
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2017000810
ANCC BOARD CERTIFICATION
—
01
—
2372804
NEW YORK APRN
NY
01
—
761730
RN STATE LICENSE
TX
01
—
AP135672
APRN STATE LICENSE
TX
01
—
G153038
APRN STATE LICENSE
IA
Enumeration date
02/21/2017
Last updated
01/26/2024
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