Doctor Name: | MRS. CINDY L COLEMAN |
NPI Number: | 1912024431 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN, MS, FNP-C |
License Number: | F332755-1 |
Business Practice Address: | 19 Park Street Alfred, NY - 14802 |
Business Phone Number: | 6078712400 |
Business Fax Number: | 6078712631 |
Mailing Address: | 874 Karr Valley Rd, ALMOND |
State: | NY |
Postal Code: | 148049741 |
Phone Number: | 6072766753 |
Fax Number: | |
NPI Enumeration Date: | 03/22/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | F332755-1 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |