Coleman, Donald Jackson.

Coleman, Donald Jackson. is an individual health care provider with primary practice located at 635 W 165Th St Harkness Eye Institute, New York NY 10032-3724. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Retina Specialist, Allopathic & Osteopathic Physicians / Ophthalmology. Allopathic & Osteopathic Physicians / Ophthalmology is his primary health care specialty. Coleman, Donald Jackson. can be contacted via phone (212) 305-6709.

Contact Information

Primary practice address
635 W 165Th St Harkness Eye Institute New York NY 10032-3724
Fax: (212) 305-5523
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Retina Specialist 207WX0107X 091408 New York
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 091408 New York

Profile Details

NPI number 1235226333
LBN Legal business name Coleman, Donald Jackson.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 9th, 2006
Last updated Feb 16th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235226333 NPPES
New York MEDICAID 00627725

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