Individual
NATALIE COLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
25337 148TH RD, ROSEDALE, NY 11422-2817
(917) 655-9801
Mailing address
25337 148TH RD, ROSEDALE, NY 11422-2817
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F30960701
NY
Other
Enumeration date
06/30/2020
Last updated
06/30/2020
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