| Doctor Name: | MRS. DONNA P COULES |
| NPI Number: | 1043511298 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | P.A |
| License Number: | 004339 |
| Business Practice Address: | 222 Rockaway Tpke Suite 1 Cedarhurst, NY - 115161833 |
| Business Phone Number: | 5162391800 |
| Business Fax Number: | 5162395553 |
| Mailing Address: | 2499 Farmers Ave, BELLMORE |
| State: | NY |
| Postal Code: | 117103814 |
| Phone Number: | 5168095415 |
| Fax Number: | |
| NPI Enumeration Date: | 11/04/2010 |
| NPI Last Update Date: | 11/04/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | 004339 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |