Coultman, Angela

Coultman, Angela is an individual health care provider with primary practice located at 19 Bradhurst Ave Department Of Pediatrics Suite 2400, Hawthorne NY 10532-2140. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Coultman, Angela can be contacted via phone (914) 593-8850.

Contact Information

Primary practice address
19 Bradhurst Ave Department Of Pediatrics Suite 2400 Hawthorne NY 10532-2140
Phone: (914) 593-8850
Fax: (914) 593-8833
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 232700 New York

Profile Details

NPI number 1871554709
LBN Legal business name Coultman, Angela
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 30th, 2006
Last updated Jun 16th, 2016 - about 8 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 1871554709 NPPES
New York MEDICAID 02581675

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