Doctor Name: | PATRICIA COLEMAN |
NPI Number: | 1417090440 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | F302036-1 |
Business Practice Address: | 4600 Southwood Heights Dr Jamesville, NY - 130789595 |
Business Phone Number: | 3154691300 |
Business Fax Number: | |
Mailing Address: | 2901 W Genesee St, SYRACUSE |
State: | NY |
Postal Code: | 132191414 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 02/15/2007 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2200X |
License Number: | F302036-1 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |