Coleman, Robert Edward

Coleman, Robert Edward is an individual health care provider with primary practice located at 108-19 Rockaway Blvd , Ozone Park NY 11420. He recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as his primary health care specialty. Coleman, Robert Edward can be contacted via phone (718) 845-2620.

Contact Information

Primary practice address
108-19 Rockaway Blvd Ozone Park NY 11420
Phone: (718) 845-2620
Fax: (718) 845-9380
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 00029490 New York

Profile Details

NPI number 1518978212
LBN Legal business name Coleman, Robert Edward
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2006
Last updated Jul 8th, 2007 - about 17 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 1518978212 NPPES
New York MEDICAID 00029490

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